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ASCPT Protégé Participation Form

The ASCPT Mentoring Program facilitates a professional relationship between an experienced member and a new professional student, or recent graduate who is interested in professional growth, individual attention, and guidance from an expert in the field of pharmacology.

This invaluable partnership will foster a practicable exchange of information and advice while expanding your knowledge base, broadening your perspective, and further connecting you to the field.

* indicates field required

* Name:

 
* Please attach a current biosketch or CV.
(Click the "Browse" Button to navigate to the location of the document on your computer.)

 
What are your career objectives?

 
What are some of your research, service, or teaching interests?

 
Please list the particular needs or areas of concern that your mentor might help you with (i.e., networking, portfolio development, technical writing, etc).

 
What do you hope to gain from the Mentor Program?

 
How much time are you willing to devote to the Program?
 
    

                                                                                                                                                                                                             
528 North Washington Street, Alexandria, VA 22314, info@ASCPT.org