DEPT OF ORTHOPEDICS MENTEE FORM

Mentee Form

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* 1. Your Name:

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* 2. Please list three academic goals that you have achieved over the previous six months.

1.

2.

3.

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* 3. Please list three academic goals that you will achieve in the next six months.

1.

2.

3.

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* 4. Have you formatted your CV to comply with the SOM guidelines?

Yes

No