To apply for the DHPSNY Mentorship Program, please complete the following form by July 19th. There are limited spaces in the program and efforts will be made to ensure that individuals are matched to groups that best suit their needs. If you are not placed in a mentorship circle in this cycle, you will be given preference in the next cycle in early 2019.
A copy of your responses will be emailed to you following completion. If you do not receive them, please contact Anastasia Matijkiw, DHPSNY Program Coordinator at email@example.com or 215-545-0613 ext. 338 to ensure that your contact information is correct.
DHPSNY will follow up with all program applications no later than August 16th.