AAST Sounding Board Mentee Form

Thank you for participating in the AAST Sounding Board! We look forward to reviewing your application!

First Name ^* (required)

Last Name ^* (required)

Contact #1 Email ^* (required)

List your Institution/Hospital ^* (required)

Are you a Resident, In-Training Fellow, or Attending? ^* (required)

Briefly describe what you are seeking from this program in a short paragraph? ^* (required)

What is your intended timeframe? ^* (required)

Please list 3–5 specific questions you would like addressed during your meeting. ^* (required)

How many senior advisor(s) would you prefer to have during your session? ^* (required)

1 senior advisor

2 senior advisors (both senior advisors in one hour session)

Is there someone specific you’re thinking of who could assist you, or are there certain traits you’re looking for in that person?