Scholar-Mentee Background Information



The AVA Triadic Mentorship Program (TMP) is a mentoring program between a scholar-mentee, an AVA community mentor (i.e. community partner agency leader), and an AVA academic mentor (i.e. graduate supervisor). The AVA TMP is intended to supplement/enhance scholars’ (i.e. graduate student or post-doctoral fellow) existing educational program preparation with AVA’s world-class, innovative focus on training to transform population (community) health and social services, specifically to improve the health of girls, women, and gender-diverse people exposed to adverse childhood experiences (ACEs) and violence.

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* 1. Your name (First, Last)

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* 2. Your preferred pronouns?

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* 3. What type of scholar are you?

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* 4. Please tell us about yourself.

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* 5. How did you hear about the AVA Triadic Mentorship program (please write yes beside your selection unless asked to specify)

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* 6. Do you require us to support with matching you to mentors (i.e. academic mentor and/or community agency mentor), or do you have all/parts of a triad established?  Check all that apply.

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