* 1. Current contact information

* 2. If you have NCHEC credentials, provide CHES or MCHES and your number

* 3. If you have completed mentoring activities, please describe

* 4. Evaluate the following statements:

  Strongly Disagree Disagree Neither Disagree Nor Agree Agree Strongly Agree
PHENOM is an important service program
PHENOM is beneficial to those looking for career direction
PHENOM has allowed me to share my professional expertise in a meaningful way

* 5. Suggestions, comments for improving PHENOM; Changes to biosketch