- Academic Pediatric Association

NADEP UIM Mentoring Program- Mentors

I would like to be a Mentor for the NADEP UIM Mentoring Program

Name(Required)

First Last

Email(Required)

I have the interest/ability to mentor in the following areas:(Required)

Project based (development of teaching or learner assessment materials/tools; curricula; educational research project)

Educational scholarship (general)

Career development as an educator/Educational leadership and administration

Promotion/Tenure

Engagement in external educational professional organizations/professional development activities

I can provide this type of mentoring (Choose all that apply):(Required)

One time (more of a focused consultation)

Short term (up to 3 meetings)

Longer term (to be negotiated between mentee/mentor)

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I can provide this type of mentoring:

These are the dates I am unavailable in the next 3 months: