First Name *

Last Name *

Preferred Email *

School Email *

Please enter your school-provided email address for verification purposes.

Self-Reflection Upload *

Please upload your THOROUGH Self-Reflection document.

20MB max

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 Academy of Applied Pharmaceutical Sciences 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 American College of Education American Military University Amirkabir University Amity University, India Ana G. Méndez University Andhra University Anna University Arizona State University Assumption University Aston University Atlantic Technological University Auburn University Augustana College Autonomous University of Baja California Azad University Azad University of Mashhad Azad University of Tehran Azusa Pacific Babson College Ball State University Bayan college for Science and Technology Beijing University of Technology Beirut Arab University Bells University of Technology Belmont University Beloit University Benha University Bingham University BITS Pilani Bloomsburg University Borough of Manhattan Community College Boston College Boston University Brandeis University Bridgewater State University Brooklyn College Wichita State University Brown University Bryn Mawr College Bucknell University Bucks County Community College 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 Carnegie Mellon University Carthage College Case Western Reserve University The Catholic University of America Catholic University Institute of Buea Cedar Crest College Centro Universitario do Estado do Pará Xavier University Changchun University Changzhou University Chapman University Cheyney University of Pennsylvania Chia Nan University of Pharmacy and Science Chicago State University China Pharmaceutical University The City College of New York Clark University Clemson University Cleveland State University CMS College Kottayam Coastal Carolina University Coe College College of Charleston College of Emporia Colombian School of Engineering Colorado School of Mines Colorado State University Colorado Technical University Columbia University in the City of New York Community College of Baltimore County Community College of Philadelphia Concordia University, Montreal Concordia University St. Paul Conestoga College Cornell University CUNY CUNY Baruch College CUNY Bronx Community College CUNY City College CUNY Graduate Center CUNY Hunter College CUNY Lehman College CUNY Medgar Evers CUNY York College Cypress College De Montfort University Delaware State University Delaware Technical Community College DePaul University DeSales University Drexel 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 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 Western Michigan University Western New England University University of Zimbabwe Ursinus College Valdosta State University Villanova University Wake Technical Community College West Chester University Wesleyan College Bournemouth University

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

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 Conestoga College 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

I am enrolled in the courses through: *

Enter required value Pathway's Online Courses My University I am not enrolled in one of the courses right now.

From which industry would you prefer to be assigned a mentor? *

Enter required value Pharmaceuticals Medical Devices Pharmaceuticals OR Medical Devices

To what degree is it important that your mentor has experience in Laboratory Operations? *

Enter required value Very Important Slightly Important Not Important

To what degree is it important that your mentor has experience in Engineering? *

Enter required value Very Important Slightly Important Not Important

To what degree is it important that your mentor has experience in Research and Development? *

Enter required value Very Important Slightly Important Not Important

To what degree is it important that your mentor has experience in Regulatory Affairs? *

Enter required value Very Important Slightly Important Not Important

To what degree is it important that your mentor has experience in Quality Assurance? *

Enter required value Very Important Slightly Important Not Important

To what degree is it important that your mentor has experience in Clinical Trials? *

Enter required value Very Important Slightly Important Not Important

Would you like to be matched with a mentor who graduated with a degree in Chemistry? *

Enter required value Yes No

Would you like to be matched with a mentor who graduated with a degree in Biology? *

Enter required value Yes No

Would you like to be matched with a mentor who graduated with a degree in Engineering? *

Enter required value Yes No

Are you enrolled in a Master’s Degree program, or have you already obtained a Master’s Degree? *

Enter required value Yes No

Are you enrolled in a Ph.D. program, or have you already obtained a Ph.D. Degree? *

Enter required value Yes No

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.

To what degree is it important that your mentor was a first generation student? *

Enter required value Very Important Slightly Important Not Important

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

To what degree is it important that your mentor is the same race as you? *

Enter required value Very Important Slightly Important Not Important

5-Gender *

Enter required value Female Male I prefer to not respond

To what degree is it important that your mentor is the same gender as you? *

Enter required value Very Important Slightly Important Not Important

Acknowledgement *

I realize that I will be added to a Mentorship "course" in Pathway's Canvas system, and I have to upload my Self-Reflection by the due date, before I will be paired with a mentor.

Enter required value Yes No