STRIPES Mentorship

Welcome to the STRIPES Mentorship Program! Our program connects women in MedTech, from early-career professionals to seasoned leaders, fostering personal and professional growth.

Mentee Application

STRIPES Mentee Application Form, August 2026 - December 2026

First name

Last name

Phone

Street Address

City

State

Zip

Professional Background

Current Job Title

Company

Years of Experience

Industry/Specialty/Focus Area

LinkedIn Profile URL

Resume

Program Objectives:

Are you looking to gain guidance as a mentee or share your experience as a mentor?

Mentee

Mentor

Both

If your primary purpose is to find a mentor, would you also consider mentoring someone more junior than you if needed?

Yes

Please outline your goals for participating in the STRIPES Mentorship Program?

Please list your preferred mentor or mentee attributes here, such as expertise, specialty, experience level, location, or other specific qualifications and needs.

Optional Details:

How did you hear about the STRIPES Mentorship Program?

Any additional comments or specific requests?

STRIPES Mentorship Commitment

By registering for the STRIPES Mentorship Program, I commit to fully participating as a mentor or mentee. I will:

Dedicate time to regular, meaningful meetings.
Respect my mentor/mentee's time, perspectives, and goals.
Maintain professionalism and confidentiality in all interactions.
Approach the relationship with an open mind and a willingness to learn or share.

I understand that this program is built on mutual respect, collaboration, and growth, and I commit to upholding these values.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.