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?
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 meet with our students in person or remotely for an hour seven times per year?
Do you live within 25 minutes of downtown Phoenix?
*Due to the COVID-19 pandemic, in-person visits will not take place until further notice. Once in-person visits resume, you will have the option to request virtual Zoom visits if desired.
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?