The University of British Columbia

UBC - A Place of Mind

The University of British Columbia Vancouver campus

Faculty of MedicineRehabilitation Sciences Student Executive Committee | RSEC

About Us
RHSC Highlights
- Student Publications
Events
Useful Info
- Useful Links
Blog
- RSEC Student Blog
Get Involved

Faculty of Medicine / Home / RHSC Mentorship Program / Mentee Application Form

Mentee Application Form

Mentorship Program Mentee Application - 2023

This form is to be filled out by students interested in being mentored by a senior student in Rehab Sciences. By completing this questionnaire, you will be entered into our pool of potential mentees for the 2023-2024 RSEC mentorship program.

Name*
Email*
Program*
Year*
Current Supervisor*
What is the primary focus of your research? (select all that apply)*
- Basic Biomedical
- Clinical
- Health Services/Systems
- Social, Cultural, Environmental and Population Health
- Other (please specify below)
If you selected "other" above, please specify.
Please describe any specific patient subgroups that you study or plan to study.
(e.g. stroke, COPD, arthritis, etc)
What best describes your research interests?*
- Quantitative
- Qualitative
- Mixed Methods
- Unsure
What is your long-term career goal? (select all that apply)*
- Academia
- Industry
- Education
- Clinical Work
- Unsure
- Other (please specify below)
If you selected "other" above, please explain.
Where will you be physically located during the upcoming year?*
- Vancouver
- Not in Vancouver
- Unsure
Briefly describe some of your non-academic interests.
Describe your ideal mentor or mentorship pair dynamic. Do you have any preferences for how you’d like to be paired with a mentor? Is there anything else you’d like us to know to help us match you to a mentor?

Δ

Rehabilitation Sciences Student Executive Committee (RSEC)

Faculty of Medicine

Vancouver Campus

212 - 2177 Wesbrook Mall

Vancouver, BC Canada V6T 1Z3

Email rsec.ubc@gmail.com

Find us on

Back to top

The University of British Columbia

Emergency Procedures |
Terms of Use |
Copyright |
Accessibility