MPH Mentorship Program – Mentee Interest Form / Alumni/Advancement / By Prathyusha Jaddu University of Bridgeport & Goodwin University Thank you for your interest in the MPH Alumni Mentorship Program. This program is designed to support your academic and professional growth by connecting you with an experienced MPH graduate. Please complete the form below to help us match you with a mentor who aligns with your interests and goals.Student InformationFull Name(Required) First Last Preferred Name/NicknameUniversity(Required) University of Bridgeport Goodwin University Student ID(Required)Email Address(Required) Phone NumberCurrent Semester in the MPH Program:(Required)Fall 2025Spring 2026Summer 2026FinalAcademic & Professional InterestsWhat are your key areas of interest in public health?(Required)(Check all that apply) Epidemiology Health Policy Health Equity Community Health Environmental Health Biostatistics Maternal & Child Health Clinical Research Global Health Other Mention other key areas of interest in public healthWhat are your current career goals or aspirations after completing the MPH program?Mentorship PreferencesWhat type of support are you looking for in a mentor?(Required)(Select up to 3) Capstone guidance Career exploration Resume/LinkedIn review Interview preparation Networking Time management Confidence building Public health certifications Other: Mention other support:Preferred Method of Communication: Email Phone Zoom/Teams No Preference Preferred Mentor Background:(Required) Academic Government Nonprofit Private Sector No Preference Other Additional InformationWhy are you interested in joining the mentorship program?Is there anything else you’d like us to know when matching you with a mentor?Acknowledgement(Required) By submitting this form, I understand that I am committing to participate actively in the mentorship program, including regular check-ins and communication with my assigned mentor.Signature(Required)
