AACS Mentoring Questionnaire - Association for Applied and Clinical Sociology

Mentoring Program Information Questionnaire

Dear Member, The association is pleased to announce that we are implementing a mentoring program. This program seeks to match students and new faculty with experienced applied and clinical sociologists in a one‐on-one relationship. If you are interested in participating in the program as a Mentor or as a Mentee, please fill out the following brief questionnaire and return it to us. This questionnaire is a PDF form and is returned by clicking on the “Submit” button. Questions followed by an *asterisk* are required.

Name*
First Last
Which of the following would you like to be?*
- Mentor
- Mentee
Affiliation
(university, agency, or company)
Email*
Phone
Location
City State / Province / Region Country
What do you seek from a mentor relationship?*
In order to help us make better matches, please indicate your general areas of interest/specialization. Be specific, and try to use clear language (e.g. criminology, medical, methods, etc.). Mentees should also indicate what they seek from a mentor relationship.