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Annual Scientific Meeting
Mentoring
Support Our Mission
Mentor Registration Form
Join us in guiding the next generation of Severance alumni in the U.S.
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Name
*
Email
*
Class Year (Graduation Year)
*
Specialty / Subspecialty
*
Location (City, State)
*
Current Position & Institution
Years of U.S. Experience
*
In training
1-5 years
5-10 years
10+ years
Which program are you interested in mentoring for?
*
Boot Camp (Residency matching)
Career Mentoring (Long-term career goals)
Both
Areas You Are Available to Support In
Clinical Observership / Shadowing Opportunities
Research Guidance / Project Collaboration
Residency Application Support (CV, Personal Statement, Interview Prep)
Career Counseling / Field-Specific Advice
Fellowship or Subspecialty Guidance
Transition to Practice (Job Search, Visa, Licensing, etc.)
General Life & Career Mentoring (Wellness, Work-Life Balance)
Other (please specify below)
Maximum number of clinical observership per year
Estimated Availability (e.g., once a month, every 2–3 months)
Comment or Message
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