First Name *

Last Name *

Organization *

Please enter your current company.

Preferred Email *

Please enter the email address where you prefer to receive communications from Pathway.

Company Email *

Please enter your Company Email address for verification purposes.

LinkedIn Profile URL

Please copy and paste your LinkedIn URL address (this is a HUGE help).  When we pair students with mentors, we give them this link so they can learn more about you.  We also connect with you so you can see other information we share about the program.  

Phone

Highest Degree Already Completed *

Please select the highest degree you have already completed.  

(If you are an Undergraduate Student, then the highest degree completed is High School. )

Enter required value High School Associate's Bachelor's Master's M.D. Ph.D.

2-Undergraduate University *

Please select your undergraduate university from the list.  If it is not listed, please "write in" the name of your school.

Enter required value Not Applicable AcSIR Addis Ababa University Adelphi University Ain Shams University Ajman University Al AlBayt University Al-Azhar University Alcorn State University Alexandria university Alverno College Ambrose Alli University Ekpoma Amirkabir University Amity University, Noida, India Ana G. Méndez University Anna University Arizona State University Assumption University Aston University Atlantic Technological University Auburn University Augustana College Azad University of Mashhad Babson College Ball State University Beijing University of Technology Beirut Arab University Bells University of Technology Belmont University Beloit University Benha University Bingham University BITS Pilani Bloomsburg University Boston College Boston University Brandeis Bridgewater State University Bucknell University Calcutta University California State Polytechnic University, Pomona California State Polytechnic University, San Luis Obispo California State University, Channel Islands California State University, Fullerton California State University, Long Beach California State University, Los Angeles California State University, Northridge California State University San Marcos Capital University Cardinal Stritch University Case Western Reserve University Catholic University Institute of Buea Cedar Crest College Centro Universitario do Pará Changchun University Chapman University Chia Nan University of Pharmacy and Science Clemson University Colorado School of Mines Colorado State University Community College of Baltimore county Community College of Philadelphia Concordia University St. Paul CUNY Baruch College CUNY Medgar Evers CUNY York College De Montfort University Delaware State University DeSales University Duke University Earlham College East Carolina University Ecole Internationale de Casablanca Ernest Cook Ultrasound Research and Education Institute ETH Zürich Fayetteville State University Federal University of Technology Owerri First Technical University Ibadan Fisk University Florida A&M University Fordham University Friedrich-Alexander University Erlangen-Nuremberg Gachon University George Mason University Georgia Institute of Technology Georgia State University Guwahati University Hampton University Harcum College Harrisburg University of Science and Technology Harvard University Howard University Illinois Institute of Technology Indian Institute of Science Education and Research, Bhopal Instituto Tecnologico de Costa Rica Johns Hopkins University Karunya Institute of Technology and Sciences Kasetsart University Kent State University Khulna University of Engineering and Technology Kwame Nkrumah University of Science and Technology La Salle University Landesapothekerkammer Hessen Lawrence Technological University Lebanese University Lehman College Loughborough University M S Ramaiah Institute of Technology Makerere University Manchester Metropolitan University Massachusetts College of Pharmacy and Health Sciences McMaster University Medgar Evers College Mercer University Miami University Michigan State University Montgomery County Community College Morehouse College Mumbai Univeristy Nanjing Tech University National University of Costa Rica New Jersey Institute of Technology New York City College of Technology (CUNY) New York University New University #2 Niger Delta University Nirma University North Carolina State University Northeastern University Nottingham Trent University The Ohio State University Ohio University Pittsburg State University Princeton University Pune University Purdue University Queen's University Belfast Rhodes College Rochester Institute of Technology (RIT) Roosevelt University Rose-Hulman Institute of Technology Rutgers University Saint Cloud State University San Diego State University San Jose State Shanghai university St. Aloysius College (Autonomous) Mangalore St. Xavier's College Sudan International University SUNY New Paltz SUNY Oswego Texas A&M University Texas Christian University Texas Tech University Texas Woman's University The Catholic University of America The College of New Jersey The John Cooper School The Pennsylvania State University The University of Texas at Tyler Tor Vergara University of Rome Toronto Institute of Pharmaceutical Technology Towson University Trinity Washington University TU Dublin UC Berkeley UCLA Wilkes University Uconn Health Universidad de Córdoba University at Buffalo University of Bath University of Birmingham University of California, Berkeley University of California, Hastings University of California, Irvine University of California, Riverside University of California, San Diego University of California, San Francisco University of Cincinnati University of Connecticut University of Dayton University of East Anglia University of Florida University of Georgia University of Ghana University of Houston University of Ibadan University of Illinois - Urbana-Champaign University of Isfahan University of Leeds University of Leicester University of Liverpool University of Maryland College Park University of Massachusetts Lowell University of Minnesota University of Minnesota Duluth University of Nebraska, Omaha University of New Brunswick University of New Mexico University of North Carolina Charlotte University of Notre Dame University of Pennsylvania University of Sheffield University of South Carolina University of South Florida University of Southampton University of St. Thomas Houston University of Sulaimani University of Tampa University of Texas Austin University of West Georgia University of West of England University of Western Ontario University of Wisconsin, Eau Claire University of Wisconsin, Madison University of Wisconsin, Milwaukee University of Zimbabwe Ursinus College Valdosta State University Villanova University Wake Technical Community College Wesleyan College West Chester University Western Michigan University Western New England University Wichita State University Xavier University

2-Undergraduate Major Group *

Please select the group(s) that most closely align with your primary major(s) (i.e., course of study, core specialization).

Agricultural Sciences

Biology

Business

Chemistry

Ecology

Engineering – Bio (medical, mechanical, etc.)

Engineering – Chemical

Engineering - Mechanical

Environmental Sciences

Mathematics

Microbiology

Neuroscience

Pharmacy

Physics

Pre-Med

Psychology

Quality Science

Other

3-Master's University

Please select your Master's university from the list.  If it is not listed, please "write in" the name of your school.  Please leave this question blank if you have not attended a Master's University (i.e. do not enter "NA" or "Not applicable").

Addis Ababa University Ain Shams University Al-Azhar University Alcorn State University Ambrose Alli University Ekpoma American College of Education Amity University, Noida, India Aston University Babson College Benha University Bingham University Bridgewater State University Brown University Case Western Reserve University Chapman University City Colleges Clemson University Colorado School of Mines Colorado State University Community College of Baltimore county Concordia University St. Paul CUNY Baruch College CUNY Medgar Evers CUNY York College De Montfort University Delaware State University DeSales University Duke University Earlham College East Carolina University Ecole Internationale de Casablanca Ernest Cook Ultrasound Research and Education Institute ETH Zürich Fayetteville State University Federal University of Technology Owerri First Technical University Ibadan Fisk University Florida A&M University Fordham University Franklin University Friedrich-Alexander University Erlangen-Nuremberg George Mason University Georgia Institute of Technology Georgia State University Hampton University Harrisburg University of Science and Technology Harvard University Howard University Illinois Institute of Technology Indian Institute of Science Education and Research, Bhopal Instituto Tecnologico de Costa Rica Isfahan University of Technology Johns Hopkins University Kent State University Kwame Nkrumah University of Science and Technology La Salle University Landesapothekerkammer Hessen Lawrence Technological University Lebanese University Lehman College Loughborough University Makerere University Manchester Metropolitan University Massachusetts College of Pharmacy and Health Sciences McMaster University Mercer University Miami University Michigan State University Morehouse College New York City College of Technology (CUNY) New York University Niger Delta University North Carolina State University Northeastern University Northwestern University Ohio State University Ohio University Princeton Queen's University Belfast Roosevelt University Rose-Hulman Institute of Technology Rutgers University Saint Cloud State University San Diego State University San Jose State Shanghai University ST ALOYSIUS COLLEGE (AUTONOMOUS) MANGALORE Sudan International University SUNY New Paltz SUNY Oswego Texas A&M University-Commerce Texas Tech University Texas Woman's University The Catholic University of America The College of New Jersey The John Cooper School The Pennsylvania State University Tor Vergara University of Rome Toronto Institute of Pharmaceutical Technology Towson University Trinity Washington University TU Dublin UC Berkeley UCLA Uconn Health Universidad de Córdoba University at Buffalo University of Bath University of Birmingham University of Buenos Aires University of California Hastings University of California, Irvine University of California, Riverside University of California, San Francisco University of Connecticut University of Dayton University of East Anglia University of Florida University of Ghana University of Houston University of Ibadan University of Illinois - Urbana-Champaign University of Illinois at Chicago University of Leeds University of Leicester University of Liverpool University of Madras University of Maryland College Park University of Massachusetts Lowell University of Minnesota University of Minnesota Duluth University of Nebraska, Omaha University of New Brunswick University of New Mexico University of North Carolina Charlotte University of Pennsylvania University of Sheffield University of South Florida University of St. Thomas Houston University of Tampa University of Texas Austin University of Toledo University of West Georgia University of West of England University of Western Ontario University of Wisconsin-Madison University of Wisconsin-Milwaukee Ursinus College Valdosta State University Villanova University Wake Technical Community College Wesleyan College West Chester University Western Michigan University Western New England University Wichita State University Wilkes University Xavier University

3-Master's Field of Study Group

Please select the group(s) that most closely align with your primary field of study (i.e., course of study, core specialization).

Agricultural Sciences

Biology

Business

Chemistry

Ecology

Engineering – Bio (medical, mechanical, etc.)

Engineering – Chemical

Engineering - Mechanical

Environmental Sciences

Mathematics

Microbiology

Neuroscience

Pharmacy

Physics

Psychology

Quality Science

Regulatory Affairs

Other

4-Doctoral/Advanced University

Please select your doctoral/advanced degree university from the list.  If it is not listed, please "write in" the name of your school.  Please leave this question blank if you have not attended a Doctoral/Advanced University (i.e. do not enter "NA" or "Not applicable").

AcSIR Addis Ababa University Ain Shams University Al-Azhar University Alcorn State University Ambrose Alli University Ekpoma Amity University, Noida, India Babson College Benha University Bingham University Bridgewater State University Brown University Chapman University City Colleges Clemson University Colorado School of Mines Colorado State University Community College of Baltimore county Concordia University St. Paul CUNY Baruch College CUNY Medgar Evers CUNY York College De Montfort University Delaware State University DeSales University Duke University Earlham College East Carolina University Ecole Internationale de Casablanca Ernest Cook Ultrasound Research and Education Institute ETH Zürich Fayetteville State University Federal University of Technology Owerri First Technical University Ibadan Fisk University Florida A&M University Fordham University Friedrich-Alexander University Erlangen-Nuremberg George Mason University Georgia Institute of Technology Georgia State University Hampton University Harrisburg University of Science and Technology Harvard University Howard University Illinois Institute of Technology Indian Institute of Science Education and Research, Bhopal Instituto Tecnologico de Costa Rica Johns Hopkins University Kwame Nkrumah University of Science and Technology La Salle University Landesapothekerkammer Hessen Lawrence Technological University Lebanese University Lehman College Loughborough University Makerere University Manchester Metropolitan University Massachusetts College of Pharmacy and Health Sciences Mercer University Miami University Michigan State University Morehouse College New York City College of Technology (CUNY) New York University Niger Delta University North Carolina State University Northeastern University Ohio State University Ohio University Princeton Queen's University Belfast Roosevelt University Rose-Hulman Institute of Technology Rutgers University Saint Cloud State University San Diego State University San Jose State Shanghai University ST ALOYSIUS COLLEGE (AUTONOMOUS) MANGALORE Sudan International University SUNY New Paltz SUNY Oswego Texas Tech University Texas Woman's University The Catholic University of America The College of New Jersey The John Cooper School The Pennsylvania State University Tor Vergara University of Rome Toronto Institute of Pharmaceutical Technology Towson University Trinity Washington University TU Dublin Tulane University UC Berkeley UCLA Uconn Health Universidad de Córdoba University at Buffalo University of Bath University of Birmingham University of California Hastings University of California, Irvine University of California, Riverside University of California, San Francisco University of Connecticut University of Dayton University of East Anglia University of Florida University of Ghana University of Houston University of Ibadan University of Illinois - Urbana-Champaign University of Leeds University of Leicester University of Liverpool University of Maryland College Park University of Massachusetts Lowell University of Minnesota University of Minnesota Duluth University of Nebraska, Omaha University of New Brunswick University of New Mexico University of North Carolina Charlotte University of North Dakota University of Nottingham University of Pennsylvania University of Sheffield University of South Florida University of St. Thomas Houston University of Tampa University of Texas Austin University of West Georgia University of West of England University of Western Ontario University of Wisconsin-Madison University of Wisconsin-Milwaukee Ursinus College Valdosta State University Villanova University Wake Technical Community College Wesleyan College West Chester University Western Michigan University Western New England University Wichita State University Wilkes University Xavier University

4-Doctoral/Advanced Degree Field of Study Group

Please select the group(s) that most closely align with your primary field of study (i.e., course of study, core specialization).

Agricultural Sciences

Biology

Business

Chemistry

Ecology

Engineering – Bio (medical, mechanical, etc.)

Engineering – Chemical

Engineering - Mechanical

Environmental Sciences

Mathematics

Microbiology

Neuroscience

Pharmacy

Physics

Psychology

Quality Science

Other

Areas of Expertise *

Please select your area of expertise (select all that apply)

Product engineering

Process engineering

Analytical laboratory

Microbiological laboratory

Clinical Trials/Human Factor Studies

Medical Devices

Pharmaceuticals

Large molecule

Vaccines

Diagnostics

R&D

Quality Assurance

Regulatory Affairs

Technical Operations

Other

Would you like to become a mentor? *

This is a virtual connection.  The requirement is to have one 2-hour meeting with your mentee in one semester (~3 months).  You will be asked each semester if you are available.

Enter required value 1 Student (2 hours) 2 Students (4 hours) 3 Students (6 hours) Not at this time

Would you like to join a Virtual Grading Team? *

Enter required value Yes Not at this time.

Would you like to join a live online meeting with students? *

These web-meetings occur periodically with different student groups and universities.  We will reach out to you when an opportunity arises to see if you are interested and available.

Enter required value Yes Not at this time.

Teaching in QSE *

Would you be willing to teach in the Quality Science Education program for a university offering this program for academic credit?  You can join a team of industry professionals to choose any online live classes you would be interested in teaching during the semester.  We will reach out to you each semester to see if you are available.

Enter required value Yes, I would be willing to teach ONLINE classes. Yes, I would be willing to teach in person in a CLASSROOM in my area. Yes, I would be willing to teach both ONLINE and in the CLASSROOM. No, I would not be interested in teaching at this time.

Questions?

Let us know if you have any questions or comments:

5-Race *

Enter required value American Indian or Alaska Native (not Hispanic or Latino) Asian (not Hispanic or Latino) Black or African American (not Hispanic or Latino) Hispanic or Latino Native Hawaiian or Other Pacific Islander (not Hispanic or Latino) White (not Hispanic or Latino) Two or More Races (not Hispanic or Latino) I prefer to not respond

5-Gender *

Enter required value Female Male I prefer to not respond

5-First-Generation Student *

Are you a first-generation student? A first-generation student means your parent(s) did not complete a 4-year college or university degree.

Enter required value Yes, I am a first-generation student. No, I am not a first-generation student. I prefer not to respond.