APPIC New Training Director Mentor Request Form
APPIC offers the opportunity for internship training programs who wish to design their training program to be eligible for membership in APPIC or for current APPIC members to be assigned a Mentor at no cost. A mentor can be useful to licensed psychologists who are coordinating training for the development of a NEW psychology internship program or one that is PREPARING to submit their materials for APA Accreditation. This form is NOT for students or non-licensed psychologists searching for an internship. Those licensed psychologists interested in developing a training program can complete the information below. Sorry this will take some time to find a match but due to an increasing demand for mentors an APPIC Board member will contact you within two to three weeks.
Email address
YOUR First Name - Last Name
Your answer
Email Contact
Your answer
Daytime Telephone Number
Your answer
City, State
Where will your training program be located?
Your answer
Which program - Internship or Postdoc?
APPIC provides a mentor for those wanting to become members of APPIC or become APA accredited.
Identify What You Would Like from a Mentor
Please check those items that are most relevant to you.
Please identify your program's setting
This helps us find a match from a similar site
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This form was created inside of APPIC. Report Abuse - Terms of Service - Additional Terms