Student Mentee Application – University of Iowa College of Public Health

First Name *

Last Name *

Email *

Expected CPH Degree

Year *

Degree *

Department / Subtrack *

CPH Degree Already Received

Year

Degree

Department / Subtrack

Career path

I am interested in working in the following employment sector(s) (Please select up to three):

First Choice *

Second Choice

Third Choice

Are you interested in obtaining an additional graduate degree?

What degree do you plan to pursue in your additional education?

Which degree do you plan to pursue?

List any CPH alumni with whom you have had frequent contact.

To better match you with a mentor, list your goal for this program and any details on your future career interests or plans. *

If you identify as a member of a marginalized community or population, and would like to be paired, if possible, with an alumni mentor with a similar identity, please select your identity below (optional, check all that apply)

Note: This information is used for internal mentee – mentor matching purposes only. Students sometimes request to be paired with an alumni mentor with similar identities to themselves. We cannot guarantee a student mentee and alumni mentor with shared identities will be matched together, as providing this information is optional and participation in the mentorship program is voluntary.