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2021 Mentorship Application

Welcome to the 2021 Mentorship Application!

This enrollment application is designed to help PeDRA match mentees with mentors who can best support their work and goals. Match priority is as follows: early career investigators, pediatric dermatology fellows, residents, research fellows, and medical students. PeDRA does its best to ensure matches for all applicants; however, if there is a shortage of mentors, not all matches can be accommodated. 
1. Applicant Information
2. Would you like to be a mentee or mentor?
3. Please select your current standing.
Are you interested in mentoring a medical student, while also being a mentee? 
4. Are you willing to commit to at least three mentorship check-ins as a requirement of this program? Meetings may take place via phone or in-person. 
Are you interested in serving as a mentor to a medical student, resident, or fellow, while still participating as a mentee in the program? Please note, that only members who have completed training are eligible to mentor a medical student, resident, or fellow. (Check all that apply, even though you will only be assigned one mentee).
Space Cell YesNo
Medical student
Pediatric Resident
Dermatology Resident
Fellow
5. What type of research are you currently/interested in performing? Check all that apply.
6. Please rank, in order the focused study groups that interest you, starting with your top priority and working your way down the list. You may drag and drop your choices. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.
7. Please rank in order the skills that are of most interest to you.  Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.
9. Are you interested in participating in a "mentorship group" where 2 or more mentees would be combined with a single mentor? (This would NOT require any additional time commitment for the mentor).
Optional: Please upload a copy of your most recent CV.