MIMS Program Application

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Thank you for your interest in the 2023 Mentoring in Medicine & Science (MIMS) Mentor Program. Please only complete the following application if you are currently a college student, college graduate and/or post-bac student. 

The MIMS Mentor Program is a 6-month program commitment that will offer participants the opportunity to:
Be matched with a health professional or health professional student 
Interact with their mentors to discuss current academic, professional and personal goals
Participate in networking and webinar events hosted by MIMS 

Program Eligibility:
• Be from a group that is underrepresented in the health workforce
• Commit to the 6-month program with a minimum of one individual check-in each month for the duration of the program
• Be a college student, graduate or post-baccalaureate student

Application and Program Timeline:
Application opens: February 17th, 2023
Application closes: March 17th, 2023 
Interview notification: March 27th, 2023
Interviews: March 31st- April 7th, 2023
Admissions decisions released: April 17th, 2023
Mentor Program Kick-Off Zoom Event (required for all participants): April 25th, 2023

Please note that submitting an application does not guarantee an interview. If you have any questions before then, please feel to email our program coordinator Jenny Hernandez jhernandez@mimscience.org

Thank you!


Thank you for your interest in the MADE: Mentorship Advances Discovery and Exploration Program, a collaborative program initiative brought to you by Mentoring in Medicine & Science (MIMS), HIV Education and Prevention Project of Alameda County (HEPPAC) and The Bridge Clinic at Highland Hospital.

Please complete the information on each page, review your information at the end, then submit your application. You can save your application to revisit it later if you cannot complete it all in one sitting.

Program Eligibility:
  • Be from a background traditionally underrepresented in the health field
  • Have completed your high school diploma or GED by the time the cohort starts
  • Have an interest in health careers - particularly mental and behavioral health careers 
  • Be fully vaccinated against COVID-19 (including booster if eligible)
Important dates to remember for Cohort D (dates for future cohorts will be updated at a later date):
  • March 6 - April 14 program application open
  • April 19th - Interview notifications
  • April 17th-21st  Interviews 
  • April 26th - Internship Notifications sent out
  • May 8th- Cohort D start date
Keep in mind that:
  • All fields marked with an asterisk (*) on the application are required.
  • You will need a resume to complete your submission (.doc or.pdf format)
  • You must click the 'Submit' button at the end to send your application to our team for review. 
  • Review your application at the end before you submit it.
  • Questions? Email Jenny at jhernandez@mimscience.org

Select MADE Cohort

In order to start your application, please tell us which cohort you are applying for.

Tentative start and end dates for the cohorts are:

  • Cohort A: begin in July 2022 and end in September 2022.
  • Cohort B: begin in October 2022 and end in January 2023
  • Cohort C: being in January 2023 and end in April 2023
  • Cohort D: begin in April 2023 and end in July 2023


Permanent Address

Please enter your permanent home address, not your school address.


Page 5

Educational background

Please answer the following questions about your education level and background.




Please answer the short answer prompts below.  Include specific details to highlight your answers.  Make sure you fully address all parts of the prompt. (Min 250 words)

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted, any false statements, omissions, or other mis-representations made by me on this application may result in my immediate dismissal.