Application

The APBP Membership Committee is now accepting applications for the 2021 Mentorship Program. The program will benefit members by helping to foster networking, enhance career development, and inspire friendships. Below is the application that will be used to pair mentors and mentees.

This section of the application asks for information about you so we can match you with someone looking for your unique experience and background. Note that most, but not all fields in this section, are required.

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* 1. First Name

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* 2. Last Name

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* 3. Organization or School

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* 4. Title

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* 5. City

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* 6. State/Province

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* 7. Country

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* 8. Email Address

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* 9. Phone Number

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* 10. Gender Identification

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* 11. Preferred Pronouns

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* 12. Race

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* 13. Ethnicity

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* 14. What is your age?

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* 15. Please indicate your current career level:

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* 16. Which sector do you work in?

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* 17. Which profession do you work in? (check all that apply)

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* 18. Have you participated in APBP's mentorship program before?

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* 19. Upload your Resume or CV

PDF, DOCX, DOC file types only.
Choose File

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* 20. I am applying as a:

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