OpenMRS Google Code-In Mentor Application Form

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It is important to us that our mentors are both capable and available to mentor high school students during this program. That is why we created this form so we get to understand our mentors better and better run the program.

Name *

Email *

OpenMRS ID *

Motivation for being a GCI Mentor at OpenMRS *

Availability (Minimum available hours per week) *

Time zone (We want our mentors to be spread across timezones so as to make sure there is always a mentor to review a task within 24hours) *

Experience with OpenMRS(Give a short description of what you do at OpenMRS and the projects you contribute to. We need this to make sure our students are in good hands.) *

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