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APSARD Mentoring Program Application - 2026
Thank you for your interest in APSARD’s professional mentoring program.
Please answer the following questions to be considered for this year’s program.
(Please be succinct, just 1-3 sentences).
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1.
Your Name:
(Required.)
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2.
Your Email:
(Required.)
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3.
Your Affiliation:
(Required.)
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4.
What leads you to seek mentoring at this time?
(Required.)
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5.
What do you think you could gain from mentoring by someone within your field? (MD w/ MD, NP w/ NP, Psychologist w/ Psychologist, Therapist w/ Therapist, etc.)
(Required.)
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6.
What do you think you could gain from mentoring by someone in another field? (MD w/ NP, MD w/ PNP, NP w/PhD, Psychologist w/ Psychiatrist, Therapist w/ Nurse, etc.)
(Required.)
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7.
Do you have a particular area of interest within ADHD?
(Required.)
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8.
Is your work more focused on children, adults, or both?
(Required.)
Children
Adults
Both Children & Adults
