Mentee Application Form – Healthw!th.Kaosi

Mentee Application

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Personal Information:

Name *

FirstLast

LayoutEmail *Phone *

Address *

Address Line 1Address Line 2CityStateZip Code

Educational Background:

Nursing School/University: *LayoutCurrent Semester *Year *LayoutExpected Graduation Date *

Date *

Goals and Expectations:

What are your goals for participating in the mentorship program? (200 words) *What specific areas do you need help with in your nursing studies? (e.g., exam preparation, clinical skills) *

Availability:

LayoutDays *Time *Prefered Meeting Time *

Commitment:

Can you commit to at least 2 hours per week for mentorship sessions? *

Upload Transcript or Proof of Enrollment: *

Click or drag a file to this area to upload.