PsychED Mentorship Program – Student Interest Form
Welcome! This form is for high school students who are interested in receiving mentorship through PsychED. Whether you are curious about studying psychology, want to explore careers in the field, or need help preparing for post-secondary pathways, our team of mentors is here to support you.
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What is your full name? *
What is your email address? *
What grade are you in? *
What is your school's name? *
What is your city/town? *
What interests you about psychology or STEM? *
Have you taken or are you currently taking a psychology course? *
Mentorship Interests (Select all that apply) *
Required
Preferred Mentorship Format *
Required
If you selected more than one format in the previous question, please rank them in order of preference (from most to least preferred). 
*
What are your availabilities?  *
Anything else you want us to know? *
Thank you for your interest in PsychED Mentorship! A member of our team will reach out soon to match you with the best support for your goals.
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