About
Membership
Resources
Sections
News
SCP Conference

Mentor Match

Mentor/Mentee Request

Please select one of the options below. *

I'm looking for a Mentor

I would like to be a Mentor

What is your name? *

First & Last Name

What is your highest degree? *

PhD

PsyD

Other, please specify:Other, please specify:

Email Address *

Phone Number *

What is your professional title and primarily affiliation? *

Your location *

City & State

Your career stage: *

How would you prefer to communicate with a mentee? (Check all that apply) *

Telephone calls

Skype or other video call

Email

Online chat

Text

Mentees in what career stage are you most interested to mentor? (Check all that apply) *

Undergraduate student

Graduate student

Postdoctoral fellow

Early career (up to 10 years)

Early/mid-career (10-20 years)

Advanced (20+ years)

Retired (or, soon-to-be retired)

How many mentees are you able to mentor at one time? *

1

2

3

4

In what professional development areas are you interested to provide mentoring? (Check all that apply) *

Applying for graduate school

Apply for internship/fellowship

Getting licensed

Building and managing a practice

Building an academic career

Developing as a teacher

Developing as a supervisor

Conducting evidence-based psychotherapy

Researching psychotherapy interventions/integration

Providing/studying integrated mental health services, e.g., in primary care

Conducting/studying psychological assessment

Applying for grants

Getting published

Developing as an administrative/organizational leader

Achieving work-life balance

Planning for a meaningful retirement

Please describe your major areas of interest and professional activities. Feel free to copy a brief biosketch here. *

Any other information regarding your interest in serving as a mentor?

What is your name? *

First & Last Name

What is your highest degree? *

PhD

PsyD

MA/MS

BA/BS

Other, please specify:Other, please specify:

If you are currently working toward a higher degree, what degree are you working toward? *

PhD

PsyD

Other, please specify:Other, please specify:

Email Address *

Phone Number *

What is your professional title and primarily affiliation? *

Your location *

City & State

Your career stage: *

How would you prefer to communicate with a mentor? (Check all that apply) *

Telephone calls

Skype or other video call

Email

Online chat

Text

In what career stage do you hope your mentor will be? (Check all that are acceptable) *

Graduate student

Postdoctoral fellow

Early career (up to 10 years)

Early/mid-career (10-20 years)

Advanced (20+ years)

Retired (or, soon-to-be retired)

In what professional development areas are you seeking mentoring? Please check up to three areas that are of greatest interest to you. *

Applying for graduate school

Apply for internship/fellowship

Getting licensed

Building and managing a practice

Building an academic career

Developing as a teacher

Developing as a supervisor

Conducting evidence-based psychological interventions

Researching psychotherapy interventions/integration

Providing/studying integrated mental health services, e.g., in primary care

Conducting/studying psychological assessment

Applying for grants

Getting published

Developing as an administrative/organizational leader

Achieving work-life balance

Planning for a meaningful retirement

Please describe your major areas of interest and professional activities. Feel free to copy a brief biosketch here. *

Are there any other factors that you would like to be considered in your match (e.g., diversity, geographical, special interest, or other considerations)?

Sending

Δ

About

Membership
Resources
Publication
Mission

Contact Info

470-668-2602

division12apa@gmail.com

4062 Peachtree Road NE Suite A526
Atlanta, GA 30319

See an issue on this page? Let us know!

© 2022 SOCIETY OF CLINICAL PSYCHOLOGY. All Rights Reserved.

Powered by PageCrafter

PageCrafter

About
Membership
Resources
Sections
News
SCP Conference

About
Membership
Resources
Sections
News
SCP Conference

Report a Page Issue

Page Issues

Page Name

Page Issue(s) *

Page text not loading properly.

Page image(s) not loading properly.

Page taking too long to load.

Page form(s) not working.

Page formatting is not correct.

Something else...Something else...

Please provide details below.

If you are human, leave this field blank.

Δ

Member Survey

Thank you for supporting the Society of Clinical Psychology. To enhance our membership benefits, we are requesting that members fill out their profile in full. This will help the Division to gather appropriate data to provide you with the best benefits. You will be able to access all other areas of the website, once your profile is submitted. Thank you and please feel free to email the Central Office at division12apa@gmail.com if you have any questions

Go to the Survey