ATVB Council Mentee Application

ATVB Council Mentee Application

The ATVB Council will help to match each mentee by area of interest with a mentor from a pool of volunteers. The selected mentor will receive information about their assigned mentee and will contact them by e-mail.

The program features an opportunity to meet via email, where the mentor will:

Welcome the mentee
Orient them to the ATVB Council/meetings
Introduce them to leaders in their field when opportunities arise
Provide them with information and resources that will be helpful to their professional career

Complete this form to get started!

* Denotes required field

Contact Information
*Name
Institution
Department
*Address 1
Address 2
Address 3
*City
State:
Country
Zip Code
*Work Phone
*Email Address
Fax
Personal Information
Age
Gender	Male Female
Qualifications
Current Appointment
*Areas of Expertise
Previous Funding
Current Funding
*Reason(s) for seeking a mentor
Mentor Preferences
Age Group
Gender	Male Female
Expertise etc