AAPS Mentoring Program: Mentee Application

AAPS Mentoring Program: Mentee Application

The AAPS Mentoring Program creates supportive, professional relationships between individuals that are focused on career advice and support. Mentors share their knowledge with mentees, and the mentees benefit from the mentor’s specific skills, experiences, and advice. For questions, contact the Membership Department at membership@aaps.org or +1.703.243.2800.
All participants must be AAPS members while participating in the mentoring program, committing for at least six months.

Mentees may include:
- Graduate and professional students
- Postdoctoral students
- Early career professionals
- Professionals looking to change career direction
- Professionals seeking career advancement advice
Only one (1) form will be accepted per mentee.

Prior to completing this application, all participants must read and agree to the AAPS Mentoring Program Terms and Conditions.
Name*

PrefixFirst NameLast NameSuffix
University/College or Work Affiliation*
City*
State/Province*
Country*
Email:*
example@example.com
What is your current stage of education:*

Working on Bachelor's DegreeWorking on Master's DegreeWorking on Doctorate DegreeConducting Post-Doctoral Fellowship/TraineeshipProfessional Considering a Career Change
Select the primary work setting you plan to enter:*

AcademiaConsultantCRO/CMOGovernmentIndustry - Large Pharma (10,000+ employees, company's brand has global presence; company offers multiple product lines; employees are working in locations around the world)Industry - Medium Pharma (1,000-9,999 employees; company's product lines are focused in a particular area; brand is not well recognized by the public)Industry - Small Pharma (Fewer than 1,000 employees)Non-profitPublishingOther

Indicate three (3) scientific areas of expertise in which you might find common ground with a mentor, in order of preference:*

	Primary	Secondary	Tertiary
Pre-Discovery
Discovery
Product Characterization
Formulation, Delivery, Packaging Development
Pharmacokinetics and Drug Disposition
Preclinical Toxicology Testing and IND Application
Bioanalytical Testing
Preclinical Research
Clinical Research
Regulatory Review
Manufacturing
Supply Chain Issues
Post-market Safety Monitoring

List any specific areas that further define your expertise (e.g., drug transport, population pharmacokinetics, etc.).
Indicate the areas in which you would like assistance:*

Career Development (e.g., career planning, career transition)Leadership & Management Skills (e.g., collaboration, communication, critical thinking, problem solving)Professional Development (e.g., degrees, continuing education, research)
Do you have any other requests for finding a suitable match?
What do you hope to achieve through your participation in the AAPS Mentoring Program?
AAPS Mentoring Program Terms and Conditions

Prior to completing this application, all participants must read the AAPS Mentoring Program Terms and Conditions.
By submitting this application, I acknowledge that I have read and agree to the terms and conditions to the AAPS Mentoring Program Terms and Conditions.*

Yes, I have read and I agreeNo, I have not read and I don't agree
Thank you for participating in the AAPS Mentoring Program. AAPS staff will contact to you when a match has been made with a mentor at the email address you have entered above.
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