Mentor Sign-Up Form – MIT Department of Chemistry

To apply to become a mentor, please fill out the form below by Midnight on July 14, 2024. We cannot guarantee specific matches or match characteristics, and we can make matches even if the below sections are blank. However, additional information would be helpful if you wish to provide it.

Mentor Sign-Up Form

Name *

Preferred Name *

Pronouns *

MIT Email Address *

Will you be able to meet the expectations of the Mentorship Program? *

Would you describe yourself as focused on one or more of the following areas? *

What lab are you in? *

Max # of mentees you can mentor

Is your undergraduate degree from a Primarily Undergraduate Institution (PUI), a research-focused, PhD-granting university, an international institution, or other?

Are there any identities or commonalities you would like to share with your mentee?

Are there particular topics that you feel well-prepared to assist your mentee with?

What are your hobbies and interests outside of science?

Did you enter graduate school immediately upon completing your undergraduate degree? If not, describe what you did in the intervening year(s).

What do you see being most helpful for you in a mentorship training?

What was the most helpful aspect of the Mentor/Mentee program for you?

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If you are human, leave this field blank.