* Required Fields
1. General information
2. Are you an APA member?
*3. Please select your top three choices as a mentor with 1 = highest and 3 = lowest.
4. Facilitator responsibilities include moving the conversation forward and obtaining goal cards from each mentee. Additionally, sending an email to each mentee 3 months later reminding them of their goals. Are you willing to be a facilitator?
*5. Please upload your CV.
The APA Board has made a commitment to increasing diversity and inclusiveness in all of our venues. In that spirit, the Speed Mentoring Committee would appreciate your telling us:
6. Do you identify as an under-represented minority?
7. Please note your ethnicity:
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