Mentor Scholarly Project Proposal Form

Please use this form to propose a scholarly project for one or more medical students. Your email address will be the contact information shared with students.

To begin, read the "Track Descriptions - Adobe PDF" document. After reading the document, begin filling out the form below and hit the  "Submit" button when finished.

Student will contact you by email address. Phone number is only shared with faculty and staff.


Select an option or choose "Other" to enter the title of your organization into the input field. The Input field is located on the right after selecting "Other".






Enter number of hours per month

No more than 5
e.g. poster, presentation, report, manuscript