Program Guidelines, Consent Form and Mentor Information Sheet:

General Information
Eligibility Requirements
Are you willing to share your medical history and health care experiences with our health care profession students?
Are you 18 years of age or older?
Are you able to make a two-year commitment?
Do you have a Primary Care Provider
*This is a requirement to be eligible for our program.
Are you available on Wednesday afternoons to meet with the students?
Are you able to speak on the phone with our students for 30 minutes five times per year?
Do you live within 25 minutes of downtown Phoenix?
If you do not live within 25 minutes, would you be willing to meet our students within 20 minutes of downtown Phoenix at an agreed upon location?