Michigan Chapter APA FAICP Mentoring Program

Mentee Information

First Name
Last Name
Email
Location

Additional Information

Current employment and position, or other:
 
Briefly describe your goal(s) in meeting with a mentor:
 
Describe the experiences you would prefer a mentor to have:
 
Are you able to meet on Zoom?
 
How far would you be willing to travel to meet in person?
 
Indicate times during a typical week that work best for you to meet:
 
   - denotes required fields