After 14 years, we are transitioning to a new Coordinator for the Mentoring Project through the Society of Pediatric Psychology, from Sharon Berry, PhD, ABPP to Joanna Patten, PsyD. 

Program evaluation was conducted in 2017 by Christina Amaro and Michael Roberts, PhD, ABPP; Amaro, C. M., Noser, A. E., Rogers, E. E., Roberts, M. C., Berry, S., & Thome Patten, J. (2017, April). An evaluation of the Society of Pediatric Psychology Mentoring Project. Poster presented at the 2017 Society of Pediatric Psychology Annual Conference, Portland, OR.  

We are soliciting new mentors and those interested in mentoring.  Even if you served as a mentor in the past, please complete this survey to continue mentoring connections.  

Mentoring occurs throughout our professional careers, so you do not have to be a student to request mentoring! We think of this as “extended networking” and ask each mentor and mentee to commit to 6 months, with both taking responsibility for connecting.

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* 1. Name:

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* 2. Email Address:

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* 3. Level of Training:

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* 4. If you are a student or fellow, please complete the following:

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* 5. If you are a licensed provider or academic faculty member, please complete the following:

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* 6. Are you interested in being connected with a mentor?

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* 7. If you are interested in being connected to a mentor, what are your primary goals for mentorship? It is most helpful if you use the free text box to rank order your goals (e.g., Teaching, Clinical, Professional Development).

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* 8. Are you interested in serving as a mentor?

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* 9. What type of mentoring are you able to provide?

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* 10. Mentors and Mentees: Please identify any specialty mentoring you prefer (SIGS):

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* 11. For mentees, please indicate below if you would prefer to be matched based on any of the following characteristics. It is most helpful if you rank your preferences in the free text box below (e.g., Bilingual speaker, work setting, gender identity).

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* 12. For mentors, are you available to be matched on any of the following characteristics?

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