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



 

Qualifications
Current Appointment
*Areas of Expertise
Previous Funding
Current Funding
*Reason(s) for seeking a mentor
Mentor Preferences
*Please help us identify what type of mentor you are looking for



 

Age Group
Gender



 

Expertise etc