Exit this survey Mentors, Advisors, Peers University (MAPs) 1. MAPs Questionnaire Question Title * 1. Please provide the following information: Name: * Company and Title (if applicable) Preferred Mailing Address: * City: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Preferred Email Address: * Preferred Phone Number: * Question Title * 2. Please provide the following information: Are you interested in being a mentor or mentee? Are you a member of Women In Bio? Current Degree Being Pursued: Area of Study: University Affiliation: Expected Graduation Date: Question Title * 3. What future careers are you considering? Question Title * 4. What is your employer type? Academia Government Biotech/pharmaceutical/medical device company Service Provider: Law Firm/Financial Services/Consulting Firm/Contract Research/Contract Manufacturing Other: Question Title * 5. Please select two key issues that you would like to discuss in your MAP-University group. Entrepreneurship Raising capital Leading/running a company Managing a team or department Working in a male-dominated culture Positioning oneself for career advancement Career planning Transitioning careers Work/family balance Other (please specify) Question Title * 6. MAPs-University groups would be formed as a way for WIB members to mentor graduate students about career development while fostering relationships. MAPs-University group meetings would occur in the evening at the university and interested WIB members would be eligible to attend as many or as few meetings as they choose.What is your preferred meeting location? (Please mark your first and second preferences with a “1” or “2”. If your preference is "other" please indicate the location in the comments box of question 10) 1 2 3 4 5 6 George Washington University 1 2 3 4 5 6 University of MD College Park 1 2 3 4 5 6 Johns Hopkins University-Baltimore Campus 1 2 3 4 5 6 Johns Hopkins University-Montgomery County/Rockville Campus 1 2 3 4 5 6 University of Maryland-Baltimore 1 2 3 4 5 6 Other Question Title * 7. What is your preferred meeting time for location preference 1? Weekday Evenings (e.g. 6:00 pm) Weekend Afternoon (e.g. noon) Weekend Evenings (e.g. 6:00 pm) Both Question Title * 8. What is your preferred meeting time for location preference 2? Weekday Evenings (e.g. 6:00 pm) Weekend Afternoon (e.g. noon) Weekend Evenings (e.g. 6:00 pm) Both Question Title * 9. How often would you like to attend these WIB-University group meetings? Weekly Twice a month Once a month Every other month Other (please specify) Question Title * 10. Why are you interested in joining a MAP-University group? Please share any other comments that will help in assigning you into your group. Done