Mentee Registration

Mentee Registration Form
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Preferred Mentee Structure

1000 Character limit - Once you enter the limited number, you will no longer be able to add additional text.

Areas of Expertise

Other Comments/Needs

Agreement

If placed in a mentoring relationship, I will adhere to the following expectations:
- Mentors and mentees will respect the boundaries (number, timing of contacts, length of relationship) established in the initial plans agreed upon by both parties unless modified by mutual consent.
- Mentors and mentees will adhere to the IAPHS Code of Conduct in their relationship.
- Problems, withdrawals, or significant changes to the initial plan will be reported to Suzanne Bevan, IAPHS Administrative Director, sbevan@iaphs.org.
- IAPHS reserves the right to withdraw its support for any pair that violates expectations.