Mentor Program
Have you participated with the mentor program in the past?
Yes
No
The mentor program works with 1st and 2nd year medical students. Please indicate your preference.
1st Year Medical Student
2nd Year Medical Student
No Preference
How would you like to communicate with your mentor?
E-mail
Phone
(000-000-0000)
Call my office assistant:
Name
Phone
(000-000-0000)
Would you be willing to be a mentor for more than one medical student?
Yes
No
The program is designed to begin in October and run throughout the
academic year. However, ongoing mentor recruitment is appreciated.
Once a match has been made your student will contact you. Mentors make
a difference in the quality of medical education and experience our
students receive at the University of Utah School of Medicine. Your
participation and on-going interest for our medical students is truly
appreciated.
Click Submit at the end of this page to send this information to the Alumni Relations Office.