Alumni Mentor Application

Testimonials
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Which session(s) would you like to support?

Session I: June 3rd - June 14th
Session II: July 8th - July 19th
I am available to participate in any session
School Information
Emergency Contact Information

Personal Responses

These short essays will help to give us some insight to your personality and interests. Please attach your short essay answers on a separate page at the end of this application.

Please describe why you would like to join the Summer Surgery Program’s leadership team as a returning alumni mentor and what experiences you’ve had that you may be able to share with our students. What specifically will you add to this year’s program by participating as a mentor?

By typing my name below, I certify that all the information provided in this application is correct:

Nothing but the absolute best in patient care & treatment.

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