APSSC Mentorship Program: Undergraduate Student Application

Your Name (Required)   APS Member Number
Gender   Female     Male
School or Affiliation (Required)
Address (Required)
City (Required)   State   Postal Code/Zip Code
Province   Country
Telephone   Fax
Email Address (Required)
Preferred Form of Communication   Phone     Email
Type of Graduate Program   First Year     Sophomore     Junior     Senior
Career and Research Interests
Please provide information on your career aspirations and research interests to help us better match you with a graduate mentor.
Describe the mentoring relationship that you desire
Is there any other information (e.g., biographical) that you would like to share with us?

Although the APSSC will make every effort to match applicants with mentees in their area of interest within the field of psychology, we cannot guarantee that a mentee will be available who matches the applicant's interests. For more on the APSSC Mentorship program, please e-mail the Undergraduate Advocate.