AAPS Mentoring Program: Mentor Application

AAPS Mentoring Program: Mentor 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 who benefit from a mentor's specific skills and experiences. 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.

Mentors are professionals actively employed in industry, academia, government, consulting, or other fields in the pharmaceutical sciences or allied disciplines.

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

PrefixFirst NameLast NameSuffix
Work Affiliation*
Job Title
City*
State/Province*
Country*
Email:*
example@example.com
Primary work setting:*

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
Highest degree obtained:*

Bachelor's DegreeMaster's DegreeDoctorate DegreeOther
Year highest degree was obtained:*
Number of mentees you are willing to work with at a given time:*
Career stage of the mentees that you are most interested in supporting:*

Working on Master's DegreeWorking on Doctorate DegreeFellowshipProfessional looking to change careers
Your current career stage:*

Early (1-10 years)Mid (10-20 years)Late (20+ years)Retired

Indicate your top three (3) scientific areas of expertise, 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 to assist a mentee:*

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