Early Career Section Mentorship Application

Thank you for your interest in participating as a Mentor/Mentee in our new ASRS Mentorship Program where FIT/ECS members are paired up with other ASRS members.  Please complete the brief form below, and we will be in touch soon.  We thank you for your patience as we thoughtfully pair up members with complementary backgrounds and interests.  After a pairing is made, we will guide members through structured exchanges (which can be conducted in person, email, or telephone) at least 4 times per year.  It is our hope that mutually meaningful mentorship relationships will be fostered through this Program.  If you have any questions, please do not hesitate to reach out.



Mitul C. Mehta, MD, MS

Christina Y. Weng, MD, MBA

I would be interested in providing/seeking mentorship in the following areas (select all that apply):


Thank you for completing the Early Career Section mentorship application! We will be in touch shortly with next steps for the program or if any additional information is needed. If you have any questions please do not hesitate to email caroline.bozell@asrs.org