Mentor Interest Survey
Thank you for your interest in serving as an ASCPT member mentor. Please indicate your availability for the dates of the mentoring sessions scheduled for Summer 2022. Please note, this opportunity is available to ASCPT Members-Only.
Sign in to Google to save your progress. Learn more
Name *
Email *
Please select the all dates you are available for the Summer 2022 mentoring sessions. All sessions take place from 12:00-12:30 PM ET. *
Required
By submitting my availability, I agree to arrive and participate live as a MENTOR during my selections and understand I will be virtually mentoring up to 3 mentees per session.  If I cannot attend the live session, I will alert ASCPT via email at members@ascpt.org. *
Required
Please submit your response no later than June 30, 2022. If you are interested in participating as a MENTEE, rather than a MENTOR, please contact members@ascpt.org. Thank you for your participation!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms