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2024 CBSW | Mentee Application
Please complete the following survey so that we can better know your interests and partner you with the best mentor.
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Are you a student or professional?
*
Student
Professional
If you are a student, what degree are you pursuing?
BSW
MSW
DSW
PhD
Clear selection
E-mail
*
Your answer
Location (City, State)
*
Your answer
(If you are a current student): What college do you attend?
Your answer
Please select your top 3 interests from the list below.
*
Private Practice
Trauma Informed Care
School Social Work
Children/Adolescents
Adults
Families
Veterans/Military
Veterinary Social Work
Medical Social Work
Substance Abuse & Addictions
Geriatric
Other:
Required
Why do you want to have a mentor? What are your goals for the relationship?
*
Your answer
Can you commit to meeting with your mentor one time per month during the school year?
*
Yes
No
Do you have a gender preference for a mentor?
*
Female
Male
Non-binary
No preference
Do you have a preference for face to face or virtual mentorship?
*
Face-to-face
Virtual
No preference
Summarize any other expectations that you have of a mentor/mentee relationship.
*
Your answer
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