AIM-HI Network Member Enrollment Form

Please fill out the Enrollment Form to help pair you with mentors/mentees, and connect you with relevant training activities and resources.

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Member Enrollment Form

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    If you are interested in being a mentee or a mentor, please complete the following sections. If not, please scroll to the bottom of page 2 to submit.
What best describes your current occupation? (choose all that apply)
Why do you want to join the AIM-HI Network as a Member? (choose all that apply)