Interested in getting professional mentorship in Nuclear Medicine? Enroll for the ACNM Mentorship Program aimed to facilitate exchange of expertise and ideas driven primarily to boost the mentee’s learning, personal growth and development. This Program will pair you with an expert mentor sharing your areas of interest and willing to devote time to your growth and success. Limited availability of mentors makes this a competitive process. Please register your interest below and we will reach out to you if you have been shortlisted for the revamped mentorship program. 

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* 1. Name:

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* 2. Email:

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* 3. Designation, Affiliation: 

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* 4. City, State:

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* 5. Country: 

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* 6. Which of these aspects of NM attracts you the most to the specialty?

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* 7. Which of these is/are a challenge for you in the field?

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* 8. Please feel free to elaborate on your choices from the previous question. 

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* 9. What are your expectations from a structured mentorship program?

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* 10. Do you have a specific mentor(s) in mind? Please indicate their name/ affiliations here. (No guarantee that you will be paired with this mentor)

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* 11. Please provide a brief personal statement on why you should be selected for this mentorship program and what you hope to achieve during this period? (Please highlight no more than 3 areas of your interest e.g. research, publishing, leadership, networking etc. Knowing your specific interests will help us in selecting an appropriate mentor for you.)

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* 12. Attach CV, Headshot. 

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