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Mentor Me M.D. Application

Student Type:*

Please be sure to include your volunteer service at YRMC
500 words or less describing: "What attracts you to a career in healthcare?"
An unofficial version is acceptable
Should be from a current teacher or school counselor

I understand that a failure to follow any of these terms and conditions may result in a dismissal from the program. If accepted into the program:
  • I will consider my membership in the YRMC Student Medical Mentoring Program as a commitment. If I am unable to attend a meeting, I will notify the program leader and will do so 24 hours in advance of the meeting, if possible.
  • I understand that there is zero tolerance for any violation of the Health Insurance Portability and Accountability Act (HIPAA), a law designed to safeguard the privacy and security of patients’ medical information.
  • I will act with integrity, maintain professionalism and practice strict confidentially.
  • I will not use any device to capture photos of patients or patients’ information.
  • I will not use my cell phone during the meetings unless given permission by a leader.
  • I will be an active participant in our meetings/sessions and will contribute and participate in the community.​
  • ​I will dress appropriately by wearing the program uniform to every meeting. I know that if I fail to comply with the clothing requirement, I will not be able to participate in the meeting and it will be counted as an absence.
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