MSP New Mom Mentor Program

Mount Sinai Parent (MSP) New Mom Mentor Program

Thank you for your interest in being a mentor or mentee! In order to create the best matches, we ask that you complete this brief intake form.
Name*

First NameLast Name
Email*
ex. sinaimom@mountsinai.org
Title*
Department*
What site do you work at?*

Icahn School of MedicineMount Sinai CorporateMSBMSBIMSHMSMMSQMSSNMSWNYEEOther
If you selected "Other" for the question above, please include your site here.*
Are you interested in becoming a:*

Mentor (experienced mom)Mentee (new mom)Mentee (expectant mom)Both (new mom and veteran mom)
Please list the age and sex of your child/children?*
(ex. I have a five-month old son or I am 2 months pregnant)
Do you prefer to be paired with someone from your site?*

YesNo
As a new mom, what topics would you like to ask your veteran mom mentor about?*

Baby gear/equipmentBreastfeeding/Pumping/Bottle FeedingChildcareEstablishing routinesKid activitiesPicky eaters and/or meal ideasReturning to workSingle parentingSleep tips and/or sleep trainingTime managementTransitioning to solid foodsWork-life balanceOther
If you selected "Other" for the question above, please describe the topic you would like more information about.*
As you are expecting your first child, what topics would you like to ask your veteran mom mentor about?*

Breastfeeding/Pumping/Bottle FeedingChildcareEstablishing routinesHospital BagRegistry itemsSingle parentingSleep tips and/or sleep trainingTime managementWork-life balanceOther
If you selected "Other" for the question above, please describe the topic you would like more information about.*
As an experienced mom, what areas do you feel most comfortable discussing and sharing your knowledge?*

Baby gear/equipmentBreastfeeding/Pumping/Bottle FeedingChildcareEstablishing routinesKid activitiesNavigating childcarePicky eaters and/or meal ideasSingle parentingSleep tips and/or sleep trainingTime managementTransition to solid foodsWork-life balanceOther
If you selected "Other" for the question above, please describe the topic you are comfortable discussing and sharing your knowledge.*
Pictures bring our community together and what parent doesn't have tons of pictures of their children!?! Please consider sharing a photo of your child to be included in the MSP Newsletter by attaching it here or emailing your picture to Melissa.mcfillin@mountsinai.org.

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If you shared a picture of your child, please provide their first name and age.
Is there anything else you want us to consider when making your mom match?
Thank you for taking the time to complete the New Mom Mentor intake form. We will contact you over email when a match has been made.
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Mount Sinai Parent (MSP) New Mom Mentor Program