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DoSAA fellowship 2019 (Mentor)

Application to Become Mentor

Mentor duties include: Collaborate with student fellow to talk routinely on phone/Skype for 2 - 4 hours per month between June and August. The Executive Committee will provide check ins/reminders to schedule these. Structure your mentorship around student 1-2 goals and general topics you think could be helpful for them. Guide fellow on a small summer project. 

Mentors can be DoSAA professional members of any psychology discipline (Ph.D., Psy.D., M.S., M.Ed., MFT, LSW, etc.)
1.Name
2.Name of your current program/school or place of work
3.Which state and time zone are you located in? Please write full names.
4.What is educational background/training?
5.Please share your current profession and indicate what roles (e.g., a. clinical, research, teaching, supervision, administrative, consulting) you are involved in:
6.What stages/concerns of student careers would you feel comfortable mentoring? (Select all that apply)
7.How many mentees are you willing to be assigned to
8.Are you a DoSAA member?
9.What name would you like us to use to introduce you as a program mentor to the fellows and the DoSAA listserv?
10.Please provide your email address to contact you and any additional information you would like to provide to help our match process.
Current Progress,
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