2025 Mentor/Mentee Interest Form

The Student Affairs Subcommittee is excited to invite BMES Members to participate in a 25-person Mentorship Program starting in 2025! Please take a moment to complete the form below, indicating your interest in either becoming a mentor or mentee. This information will help us match participants and create a successful mentorship experience.

Deadline to Apply: April 30, 2024

Only active BMES members are eligible to proceed in the mentor/mentee application process. By checking this box, you confirm that you have an active BMES membership.*

First name*

Last name*

Email*

Mobile phone number*

City*

State/Region*

Country/Region*

Institution/University or Organization*

If 'Other' was selected, please specify:

Role Selection (Please Select One)*

Mentor (I would like to guide and support a mentee)

Mentee (I am seeking guidance and support)

For Mentors Only

How many years of experience do you have in your field?

0-2 Years

3-5 Years

6-10 Years

10+ Years

What skills or knowledge areas would you like to mentor others in?

What area(s) would you like to mentor in?

What is your preferred method of mentorship as a mentor?

Virtual

Hybrid (both in-person and virtual)

What is your availability for mentorship as a mentor?

Weekly

Bi-weekly

Monthly

Why do you want to become a mentor?

For Mentees Only

What area(s) would you like mentorship in?

If other, please specify

What are your short-term and long-term goals for mentorship?

What is your preferred method of mentorship as a mentee?

Virtual

Hybrid

What is your preferred cadence?

Weekly

Bi-weekly

Monthly

Why are you seeking a mentor?

Additional Information

Please upload your resume or relevant documents here. Ensure the file is in PDF or Word format.

Is there anything else you would like us to know about your interest in the mentorship program?