Mentor Program

UNIVERSITY OF ALABAMA
MEDICAL ALUMNI ASSOCIATION

MENTOR PROGRAM

Are you interested in being a mentor to a medical student? Please fill out the below form.

Name:
Address:
Phone Number:
Email:
Specialty:
Please mark what you would be willing to do in your capacity as a mentor.
	Speak with a student regarding your specialty and career via the telephone
	Correspond with a student via email
	Meet with a student for coffee or dinner
	Invite a student to visit your practice for a day
	Invite a student to visit your practice for an extended clerkship
Feel free to provide any information you think we may find pertinent in matching you to a medical student.