APPIC New Training Director Mentor Request Form

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APPIC offers the opportunity for internship and postdoctoral training programs who wish to design their training programs to move towards 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 or APPIC membership.

This form is NOT for students or non-licensed psychologists searching for an internship/postdoctoral fellowship. Those licensed psychologists interested in developing a training program can complete the information below. Note that it will take some time to find a match due to an increasing demand for mentors. An APPIC Board member will contact you as soon as possible, hopefully within two to three weeks.

Email *

YOUR First Name - Last Name *

Email Contact *

Daytime Telephone Number *

City, State *

Where will your training program be located?

Which program - Internship or Postdoc?

APPIC provides a mentor for those wanting to become members of APPIC or to become APA accredited.

Start or Consult - Internship Training Program

Start or Consult - Postdoctoral Training Program

Start or Consult - Consortia Internship Training Program

Are you currently a Training Director of an APPIC member internship or postdoctoral program?

Yes

No, but we are planning on moving towards APPIC membership

Clear selection

Identify What You Would Like from a Mentor

Please check those items that are most relevant to you.

Developing a Training Program

Developing Due Process & Grievance Procedures

Needed Qualifications of Training Director

Starting the APA Accreditation Process

Criteria for APPIC Membership

Criteria for APA Accreditation

Guidance as a new Training Director

Other

Please identify your program's setting

This helps us find a match from a similar site

Counseling Center Training Program

Medical Center Training Program

Community Mental Health

Psychiatric Hospital Training Program

General Hospital Training Program

Correctional Care Training Program

Other:

Submit

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