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1.

First Name

 (Required.)

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2.

Last Name

 (Required.)

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3.

Email

 (Required.)

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4.

Institution

 (Required.)

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5.

Institution City, State

 (Required.)

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6.

Academic Rank

 (Required.)

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7.

What are your areas of academic interest

 (Required.)

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8.

 

What level of mentee are you willing to work with?  Check all that apply. (Required.)

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9.

 

What are your desired qualities in a mentee? (Required.)

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10. How many mentees are you willing to mentor? (Required.)

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11.

Comments:

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

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 mentor!  You will be receiving mentee contact information and instructions as soon as possible! 

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