Mentor Sign-Up Form

HPM Alumni Mentor Program Sign-Up Form

Please fill out the form below to participate as an alumni mentor. If you participated as a mentor last year and would like to participate again this year, please fill out this new form as you will be matched with a new student. Be sure to select all industries you may have experience in to better assist us with the matching process. You should expect an email matching you with your mentee(s) in early October. Please email Becca Schoenfeld with any questions or concerns: rs3665@cumc.columbia.edu
Name:

First NameLast Name
Degree
Graduation Year
Number of Years Work Experience
Job Title
Company
Industry

Other
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Preferred Phone
Phone Number

Area CodePhone Number
Do you feel comfortable mentoring more than one student?
Did you complete an administrative fellowship?
Over 30% of HPM students are international. It is helpful to hear from mentors who have experience navigating graduate school and working in the US. Please check "yes" if you share this experience and are comfortable sharing your expertise with a mentee.
If yes, please indicate your home country.
URL to LinkedIn or bio page
Would you like to participate in mock interviews?
Are you interested in hosting a student for a summer APEx (formerly known as practicum)?
Should be Empty:

HPM Alumni Mentor Program Sign-Up Form