STRIPES Mentor Application

Thank you for your interest in becoming a mentor in the STRIPES Mentorship Program! This program connects women in MedTech across all career stages to foster growth, leadership, and meaningful connections.

As a mentor, you’ll play a key role in supporting the next generation of professionals by sharing your experience, insights, and guidance.

Please complete the form below to help us thoughtfully match you with a mentee.

Basic Information

First name

Last name

Email

Phone

Address (City, State, Zip)

Current Job Title

Company Name

LinkedIn Profile

Professional Background

What industry do you currently work in?

How many years of professional experience do you have?

Briefly describe your career journey. (2-3 sentences)

Resume

Mentorship Experience & Interest

Have you mentored before?

Why are you interested in being a mentor for STRIPES?

What areas are you most comfortable mentoring in?

What type of mentees would you prefer to work with?

Availability & Commitment

Are you able to commit to mentor from March - August?

How often would you prefer to meet with your mentee?

Preferred meeting format:

Matching Preferences

What qualities do you value most in a mentee?

Do you have any preferences for matching?

Optional Details

What do you hope to gain from this mentorship experience?

Is there anything else you'd like us to know?

Thank you for applying to be a mentor! We’re excited about the opportunity to match you with a mentee and build meaningful connections within the STRIPES community.