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NCHIMA Mentee Application

Mentee Information *This question is required.
This question requires a valid number format.
This question requires a valid email address.
This question requires a valid email address.
I check my email:
HIM Field where currently employed (if applicable):
HIM Field where you are requesting assistance: (please select all that apply)
In what skills, experience or knowledge areas do you feel that you need the most assistance? (please select all that apply)
  • * This question is required.
A local match might not be able to be made for you if you prefer in-person meetings so you should have internet access, access to a phone, a headset, speakers for your computer, and a microphone so that you can participate in conference calls or webinars with the mentor.  If meeting your mentor in person, you will need to arrange for transportation to meet your mentor.

 
Participating in the program requires a time commitment from both mentor and the mentee. What kind of time commitments do you feel you can make?