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* 1.

First Name

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* 2.

Last Name

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* 3.

Email

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* 4.

Institution

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* 5.

Institution City, State

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* 6.

Academic Rank

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* 7.

What are your areas of academic interest?

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* 8.

What are your desires/goals from an AAP mentor?

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* 9.

 

What are your desired qualities in a mentor?

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* 10.

Additional Comments:

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* 11. Are you planning to attend this year's AAP meeting in Washington, DC, September 11-14, 2024?

Disclaimer:  AAP intends to pair mentors and mentees based on the information provided.  We will make every effort to accommodate your requests, however, pairings will be based on availability and therefore, may not include preferences indicated.
Thank you for your interest in becoming an AAP mentee! You will be receiving your mentor contact information and instructions as soon as possible!

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