Mentee Interest for APA D16 Diversity Mentorship Program
Thank you for your interest in the APA Division 16 SASP Diversity Mentorship Program! Please complete the form so we can get to know a little bit more about you and try to match you with an appropriate mentor. Please feel free to reach out to Marie (Diversity Affairs Chair) with any questions or comments.

For more detailed information on the mentorship program:
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Email *
What is your name?
School + Program
Year in Program
Research Interests:
What is your interest in participating in such a program? Why do you want to be a mentee and what do you look for in a mentor? Please be specific so the best possible matches can be made.
Is there anything else you would like to add, especially in terms of what kind of person you would like to be matched with?
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