2024-2025 SWHPN Mentee Application
Hello!

Thank you for your interest in being a SWHPN mentee!

Here is general information about the mentorship program:

1. This is a one year commitment which will complete at the next SWHPN Conference in 2025.
2. The primary mode of communication will be email and phone contact (or zoom if preferred).
3. Expectations include quarterly phone call and monthly emails.
4. Each mentor and mentee pair will work together to define the goals for their mentorship year.
5. The mentorship program is for professional growth and support. 

This program is not intended to be used for clinical supervision.

Please answer the questions in this form to help us learn more about you so we can pair you with a good fit.

Please note: We will be accepting just 10 pairs for this years cohort. We will be in touch by the end of May with an update on the status of your application.

Thanks for your interest!

Team SWHPN
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Name *
Email (that you would want to use with your mentor) *
Phone number *
Are you a current SWHPN member? *
What time zone do you reside in? *
Are you currently in practice? *
Are you currently a student? *
If you are a student, what school are you attending and what level of study are you pursuing?
What is your area of study?
What type of organization do you work in? *
Please share if you work primarily in an inpatient or outpatient setting *
Where do you work (name of agency, hospital, school etc)?
 *
What city and state do you work or go to school in? *
What is the primary focus of your work/study? *
How long have you worked in your current field of practice *
How long have you worked as a social worker? *
Please share what licensure you have *
What topics would you like to discuss with your mentor? *
Required
Mentees are usually matched to a mentor by the focus of their work. What other areas would you like to be matched by, if any?
Can you commit to be available for monthly phone calls and emails with your mentor? *
In general, when do you anticipate being available to have conversations with your mentor? *
Required
What do you hope to get out of being a SWHPN mentee? What are some of your goals? *
Is there anything else you'd like us to know?
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