2018 AAPA Mentorship Program Application
Thank you so much for your interest in applying to the AAPA Mentorship Program. Please complete the application questions below. If you have any questions at all, feel free to email us anytime at info@aapamentoring.com

NEW CANDIDATES: Within a few weeks after receipt of your application, we will invite you to join an informal chat over the phone with an AAPA Mentor. The purpose is to further understand your capacity for learning, strategic thinking and business acumen, and commitment and motivation. Tip: think about examples in these areas.

RENEWING CANDIDATES/RENEWING MENTEES: No informal chat with Mentor is required.

You will be notified of your acceptance into the program one to two weeks after the call. At that time, payment will be due.

Annual program fee:
Early bird: $350 if you apply on/before December 31, 2017
Regular: $500 if you apply after January 1, 2018

Program Dates:
• Thurs, January 25: Introductory Session (open to all)
• Wed, January 31: Last day to apply with primary consideration for your top Mentor choices.
• February: Mentee and Mentor matching and announcements
• Sat, March 17: Speaker Session 1 / Learning Hub
• Sat, April 7: Workshop 1
• Thurs, April 26: Speaker Session 2 / Learning Hub
• Sat, May 19: Workshop 2
• Thurs, August 23: Speaker Session 3 / Learning Hub
• Sat, September 15: Workshop 3
• Thurs, December 6: AAPA Graduation Gala

For program info: http://aapamentoring.com/program/
For event info: http://aapamentoring.com/events/ (view "Mentorship Program" events)

Name *
Your answer
Email *
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Phone *
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Zip Code *
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Gender *
What is your age range? *
How would you describe yourself (Ethnic origin/Race)? Select all that apply. *
What is your title? *
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What is your company/organization name? *
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What is your industry? *
Please list your professional role: *
Please share your LinkedIn account. *(If you do not have a LinkedIn account, submit your resume to <info@aapamentoring.com> to complete your application.)* *
Your answer
Will your company sponsor you to enroll in the program? *
Which AAPA Track do you wish to join? See Tracks here: http://aapamentoring.com/program/ *
How did you learn about the Mentorship Program? Did anyone refer you? *
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What are your top 3 reasons for wanting to join the AAPA Mentorship Program? *
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Please describe why you would be a good fit for the AAPA Mentorship Program? (max 200 words) *
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Please state your goals and purpose for your career. (max 200 words) *
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Do you anticipate any constraints that will limit your availability or ability to be an active mentee during the year? *
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Where are you located? How far are you willing to travel to meet with your Mentor? *
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