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* Your name:
* Your position:
* Your affiliation/employer:
* Your business or cell phone number:
* Your e-mail address:
* I work mostly in:
* I work mostly for a:
* How long have you been writing or editing materials on science, medicine, health or the business of health?
* What type of health, medical or science information do you cover?
* How much time (in hours) would you be able to spend talking with your “mentee” or reviewing his/her work?
* Could you commit to a mentor program term of:
* What would be the focus of your work as a mentor?
Helping other journalists find work or better work
Answering expert queries
Offering general advice on career advancement
Helping program participants find fellowships or internships
Are you interested in mentoring a specific type of media professional? Anything else that would help us make a good match?