UERM AFUSA Alumni Participation Disclaimer and Consent Form

Professional Conduct

I agree to maintain professionalism, respect confidentiality, and not record or share sessions without consent.

Institutional Collaboration

I may share information on U.S. electives (e.g., VSLO) and support UERM in exploring partnerships.

Participation Terms

Participation is voluntary. Feedback may be used (anonymized) for program evaluation.

Purpose
I voluntarily participate as an alumni mentor providing mentorship, career advising, and optional clinical discussions.

Role
Includes mentorship, USMLE/residency guidance, and career advising. This role is voluntary, non-remunerated, and advisory.

Acknowledgments

  • I am not acting as UERM faculty
  • I will not grade or formally evaluate students
  • Guidance is based on personal experience

Consent
I have read and agree to participate under these terms.

Clear Signature
Alumni–Student Mentorship, Career Development, and Clinical Enrichment Program (Pilot Phase)