DHA-ASN Student - Mentee Application

First name

Last name

Phone

Cohort Year

What are your short-term and long-term career aspirations within health administration?

What specific skills or areas of knowledge are you hoping to develop through mentorship?

Are there any challenges you currently face that you would like a mentor’s support with?

Do you prefer a mentor with expertise in a specific area, such as healthcare leadership, policy, consulting, or academia?

What style of mentorship do you find most effective (e.g., hands-on guidance, collaborative support, direct feedback)?

How frequently would you like to meet with your mentor (e.g., weekly, bi-weekly, monthly)?

Are there specific professional interests (e.g., healthcare policy, hospital management, public health) you would like your mentor to share?

Do you have any preferences regarding your mentor’s background, such as gender, cultural experience, or career track?

What do you aim to accomplish by the end of the mentorship program?

What qualities or characteristics do you believe are important for an effective mentor?

Notify the Board about ASN Member Achievements & Successes So We Can Share!
Click Here!