Mentorship Program Application

Please fill in the application below and hit SUBMIT.  All applications are due December 10th.  Should you have any questions about the application process, please contact Roberta Prattico, Director of Mentorship, at [email protected].

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*Please provide your personal email address*
I am a CPRS member :

Are you interested in being a Mentor or a Mentee:

Are you accredited:


What areas or skill sets are you interested in learning more about? (Choose all that apply):












Which sector(s) are you interested in learning more about? (Choose all that apply):










What geographical areas are convenient for meetings with your mentor/mentee?: