NYC Men in Nursing values mentoring as a reciprocal learning relationship in which mentor and mentee agree to a partnership where they will work collaboratively toward achievement of mutually defined goals that will develop a mentee’s skills, abilities, knowledge, and/or thinking. The mentorship program is based on a Learner-Centered Mentoring Model designed to place the mentor and mentee in a learning partnership during which both grow and develop. Members are encouraged to participate in the year-long mentorship cycle.

Mentorship Program Benefits Include:

· Mutual support

· Career guidance

· Professional growth and socialization

· Support in transition to practice

Requirements To Be A Mentor:

Be an active member of the NYC MIN
Be a registered nurse
Commit to a one-year formal mentorship
Attend periodic mentorship meetings (every three months)

Requirements To Be A Mentee:

Be an active member of the NYC MIN
Be a student nurse, currently enrolled in a nursing program or a recent nursing grad. RNs may also apply as a mentee
Commit to a one-year formal mentorship
Attend periodic mentorship meetings (every 2-3 months)

Name

First Name

Last Name

Phone

(###)

###

####

Are you currently employed?

Yes

Where do you work?

(N/A if you are currently a student)

What is your position?

(N/A if you are a current student)

Why would you like to part of the mentorship program and what are your personal goals from the program?

What are your short-term goals for the next 2 years?

Would you like to be a mentor or mentee?

Are you a paid member of NYC Men in Nursing? (You must be a paid member to sign up for the mentorship program)