Be a GMaP Mentor

Please fill out the form below to be added to our list of regional expert researchers who are available to mentor our scholars and early stage investigators.

Name * [* = required]

Email address * [* = required]

Organization/University [* = required]

Title(s) [* = required]

Address [* = required]

City/State [* = required]

ZIP code [* = required]

Phone number [* = required]

Tell us about yourself

Degree(s) [* = required]

Primary area of research [* = required]

Current funding mechanisms [* = required]

How many years left on current project [* = required]

Please describe your current research project [* = required]

Mentoring interests [* = required]

Applying for Diversity Supplement

K Award Mentoring

F31 Fellowship Mentoring

Providing grant proposal feedback*

Speaking/mentoring at GMaP Workshops*

Other (please explain below)

*Consultant payment available

Would you like to receive our e-blast newsletter? [* = required]

Yes

Is there anything else we should know about you? You may also leave any questions or comments here. [* = required]