ERS Mentor Request Form ERS Mentor Request form Current ERS students in their first or second year have the opportunity to submit a request form for their desired ERS faculty mentor. Provide the following information below for your request to be considered: Name(Required) First Last Email(Required) Enter Email Confirm Email Department(Required) Degree Type(Required)Ph.D.MastersYear in ERS Program(Required)First YearSecond YearSelected Mentor's Name(Required) First Last Title(s) Selected Mentor's Department(Required)NeurosciencePharmacology and TherapeuticsBiomedical SciencesHealth Outcomes and Biomedical InformaticsHas your selected mentor agreed to the role?(Required) Yes No If not, explain why:(Required)
