Mentor Interest Form
CU AMC Women in STEM started a mentorship program on the Anschutz Campus in the Summer of 2019. We are planning to grow the program in the future, so please fill out this form if you are interested in being a mentor.

The goals of the program are (1) Facilitate one-on-one mentoring relationships between senior and junior members of the Anschutz campus (and beyond), (2) Create a mentorship community, and (3) Provide training on mentoring skills to mentors and mentees.
In general, each mentor is paired with a mentee. We ask that mentor-mentee pairs meet once a month. The WiSTEM Mentorship program also plans to host quarterly book club meetings and semi-annual training events for mentors and mentees.

When you sign up to become a mentor, please be patient as this is a rolling interest form. We are planning to expand our program in Fall of 2020, so we will likely contact you with an update in Summer 2020. Thank you!
What is your name?
What is your e-mail address?
What is your position at CU Anschutz, or what is your position and what company do you work for?
Clear selection
Why are you interested in participating in the WiSTEM Mentorship Program?
What previous experience do you have with mentoring?
Are you willing to meet with your assigned mentee once a month and attend quarterly Mentoring Mixers and semi-annual Mentoring Training hosted by WiSTEM?
Clear selection
Thank you! We will contact you soon, in summer 2020.
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