Alaska Health Information Management Association

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"You're Not Alone" Mentoring Program

Application
Learn more about the program
Mentor contact record

 

Mentor Contact Record

Minimum contact 1 x per month is required. 
Can be in person, phone, or email.

*required information

*First Name  
*Last Name  
*Phone #  
*Email  
   
About the Mentee:
*First Name  
*Last Name  
   
About Our Contact:
                
*Date          
*Contact Type  
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