Disability Mentorship Program

The AHA's Advisory Committee on Disability, formerly the Task Force on Disability, has started a program to match graduate students with disabilities with faculty mentors. Apply to be a part of this program (either mentor or mentee) through the form below. This information will not be made public, collected, or used by the AHA for any purpose other than matching students with mentors.

Apply to be a Mentor/Mentee

I am applying to be a:
(choose one)

Name:

E-mail:

Phone:

Optional Other
Contact Info:
(Twitter, LinkedIn,
Facebook, IM)

Institution:

Type of disability
or health condition :

Field and Subfield:

For Mentees:

*Other (if you chose "other" in the drop down menu above, please specify here)

For Mentors:

*Other (if you chose "other" in the drop down menu above, please specify here)

Last Updated: January 22, 2013 10:42 AM

American Historical Association

Resources

Disability Mentorship Program

Apply to be a Mentor/Mentee

I am applying to be a: (choose one)
Name:
E-mail:
Phone:
Optional Other Contact Info: (Twitter, LinkedIn, Facebook, IM)
Institution:
Type of disability or health condition :
Field and Subfield:

For Mentees:	*Other (if you chose "other" in the drop down menu above, please specify here)

For Mentors:	*Other (if you chose "other" in the drop down menu above, please specify here)