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ACLP 2020 Resident Mentorship Sign-up (mentee)

Thank you for your interest in the ACLP resident mentorship program. The following questions will help us understand you and your interest in Consultation-Liaison Psychiatry in order to match you with the best mentor. As this program is designed for residents, if you will be C-L Psychiatry fellow during this academic year, please contact the ACLP Early Career Subcommittee or the ACLP Fellowship Education Subcommittee in order to find out about mentorship opportunities appropriate to your level of training.
1. Contact Details *This question is required.
2. What will your status be during the academic year 2020-2021?
3. Are you a current member of the Academy of Consultation-Liaison Psychiatry? *This question is required.