Mentorship 2023

Mentorship Program 2023

Since 1940 | Professional Staff | Non-Profit Organization

Since 1940
Professional Staff
Non-Profit Organization

Mentorship Program

The Mentor Program at Southern Nevada Dental Society enables dental students and new graduates to obtain counsel and guidance with some of the concerns involved in the beginning of a dental career. The Mentor Program is geared towards integrate the dentists of tomorrow with the Dental Community.

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Mentorship 2022 Page Form

Name:

Email:

Phone:

University/College:

Street Address:

State:

Zip Code:

Best time to contact you:

Mentor/ Mentee

Mentor

Mentee

What information are you most interested in attaining from the SNDS Mentoring Program? Check all that apply. (Mentees Only):

Clinical Techniques

Practice Management

Exposure to a Specialty Practice

Other

Specific Location Request(Mentees Only):

Are there other characteristics of the mentor or the mentor's practice which are important to you? (Mentees Only):

Preference on type of practice (Mentees Only):

Is there a specific mentor to whom you wish to be assigned? (Mentees Only):

Which is your preferred method of contact? (Mentees Only):

Is there any other information that would be helpful to us in pairing you with an appropriate mentor? (Mentees Only):

Business Address (Mentors only):

Type of Practice (Mentors Only):

Size of Practice( Mentors Only)

Brief description of your practice (Mentors Only):

Brief description of your career including professional and community recognition (Mentors Only):

What did you enjoy most about being a mentor? (Mentors Only):

Number of students you are willing to mentor (Mentors Only):

Are there any other concerns or characteristics of your protege that would be important to you? (Mentors Only)

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(702) 901-1495

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Mentorship Program 2023

Since 1940Professional StaffNon-Profit Organization