*2. At what email address would you like to be contacted?
*3. Which of the following best describes your current occupation?
Graduate student/Posdoc
Industry
Academia
Government
*4. Would you be interested in becoming a mentor/mentee?
*5. If you are interested in being a mentor, please indicate your job title and t-he field you are current in.
| | Answer |
| Job title | ____________ |
| Filed | ____________ |
*6. If you are interested in being a mentee, what career path you would like to follow?
Academia
Government
Industry
None of above(please specify)
*7. What do you want to learn from this program?
*8. Any thoughts or comments?