(All information listed below--except for "Address [cont.]"--is required.)
1. Please provide the following contact information:
2. Describe Briefly Your Current Position in VA and Duties:
3. Please Choose One “Track” that Suits Your Situation:
Early Career – Psychologists with 5 years of employment or less with VA who are looking at making a next step to team leader, first line supervisor, or program official with responsibilities in addition to beyond a solely direct service or provider role. Academic/Research Career – Psychologists who are clinical researchers seeking to develop and define their role as an independent investigator, with or without clinical service or teaching responsibilities Mid-Career – Psychologists who are currently in positions of leadership or responsibility, but who are looking to assume senior professional and/or managerial roles in VA
Early Career – Psychologists with 5 years of employment or less with VA who are looking at making a next step to team leader, first line supervisor, or program official with responsibilities in addition to beyond a solely direct service or provider role.
Academic/Research Career – Psychologists who are clinical researchers seeking to develop and define their role as an independent investigator, with or without clinical service or teaching responsibilities
Mid-Career – Psychologists who are currently in positions of leadership or responsibility, but who are looking to assume senior professional and/or managerial roles in VA
Completing this form is an expression of interest and does not bind or commit you to any course of action or participation. The Mentorship Program is being established for a one year period for new enrollees is intended and designed for AVAPL Members.
