Get Scipac Mentor/mentee Application

This guide provides step-by-step instructions for completing the SciPAC Mentor/Mentee Application online. By following these directions, users can ensure that their application is filled out accurately and submitted successfully.

Follow the steps to complete your application form smoothly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Indicate whether you would like to be a mentor or a mentee by selecting the appropriate option.
3. Fill in the submission date in the provided field.
4. Provide your rank and name, including your last name, first name, and middle name.
5. Detail your degree or professional training.
6. Input your years of service, both in the Public Health Service (PHS) and in other uniformed services, if applicable.
7. Complete the fields for your current agency and job title.
8. Enter your address, including city, state, zip code, and daytime phone number.
9. If applicable, provide your fax number and email address.
10. For mentors, select the areas where you can provide guidance; for mentees, select the areas in which you seek guidance.
11. If you have additional comments or information that can assist in matching with a suitable mentor or mentee, please share them in the designated section.
12. Review all information for accuracy, save changes, and then download, print, or share the completed application as needed.

Begin your online application process now for a rewarding mentoring experience.