{"id":1128,"date":"2024-01-23T11:13:06","date_gmt":"2024-01-23T16:13:40","guid":{"rendered":"https:\/\/www.adelphi.edu\/psychology\/about\/diversity\/mentoring-future-psychologists\/application\/"},"modified":"2026-08-26T15:07:18","modified_gmt":"2026-08-26T19:07:18","slug":"apply","status":"publish","type":"page","link":"https:\/\/www.adelphi.edu\/psychology\/about\/diversity\/mentoring-future-psychologists\/apply\/","title":{"rendered":"Apply to the Program"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_unknown gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_32' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><p>Please take time to carefully answer questions. They will be used to skillfully match you with a mentor who has like interests. Students must be active and currently enrolled in Adelphi University. All responses will be kept confidential and files will be secure.<\/p>\r\n\r\n<p><strong>Please apply before Friday, September 18, 2026<\/strong><\/p><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_32'  action='\/psychology\/wp-json\/wp\/v2\/pages\/1128' data-formid='32' novalidate><input type=\"hidden\" name=\"adelphi_gf_data\" value=\"1:local-000cef83d359eddbbc2ed1a57d6df440:1788450133\"><input type=\"hidden\" name=\"adelphi_gf_hmac\" value=\"4a297f7d519aa73f397675f448183117a4daf20ae73feeb375da35e0bbb9bf41\">\n                        <div class='gform-body gform_body'><div id='gform_fields_32' class='gform_fields top_label form_sublabel_below description_above validation_below'><fieldset id=\"field_32_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_32_1'>\n                            \n                            <span id='input_32_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_32_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_32_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_32_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_32_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_32_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_32_2\" class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_2'>Adelphi Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_32_2' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_32_7\" class=\"gfield gfield--type-phone gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_7'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_32_7' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_32_32\" class=\"gfield gfield--type-number gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_32'>Student ID #<\/label><div class='gfield_description' id='gfield_description_32_32'>Not sure of your ID? You can <a href=\"https:\/\/class.adelphi.edu\/account_tools\/id.php\" target=\"_blank\">look up your Adelphi ID<\/a>.<\/div><div class='ginput_container ginput_container_number'><input name='input_32' id='input_32_32' type='number' step='any'   value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_description_32_32\" \/><\/div><\/div><div id=\"field_32_8\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_8'>Class Year<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_32_8' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select Your Current Class Standing<\/option><option value='First-Year' >First-Year<\/option><option value='Sophomore' >Sophomore<\/option><option value='Junior' >Junior<\/option><option value='Senior' >Senior<\/option><option value='Graduate Student' >Graduate Student<\/option><\/select><\/div><\/div><fieldset id=\"field_32_29\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Race\/Ethnicity<\/legend><div class='gfield_description' id='gfield_description_32_29'>How would you best describe yourself?<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_32_29'><div class='gchoice gchoice_32_29_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.1' type='checkbox'  value='Hispanic or Latino'  id='choice_32_29_1'   aria-describedby=\"gfield_description_32_29\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_32_29_1' id='label_32_29_1' class='gform-field-label gform-field-label--type-inline'>Hispanic or Latino<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_29_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.2' type='checkbox'  value='Asian'  id='choice_32_29_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_29_2' id='label_32_29_2' class='gform-field-label gform-field-label--type-inline'>Asian<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_29_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.3' type='checkbox'  value='Black or African American'  id='choice_32_29_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_29_3' id='label_32_29_3' class='gform-field-label gform-field-label--type-inline'>Black or African American<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_29_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.4' type='checkbox'  value='Native Hawaiian or Other Pacific Islander'  id='choice_32_29_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_29_4' id='label_32_29_4' class='gform-field-label gform-field-label--type-inline'>Native Hawaiian or Other Pacific Islander<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_29_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.5' type='checkbox'  value='Indigenous'  id='choice_32_29_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_29_5' id='label_32_29_5' class='gform-field-label gform-field-label--type-inline'>Indigenous<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_29_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.6' type='checkbox'  value='White'  id='choice_32_29_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_29_6' id='label_32_29_6' class='gform-field-label gform-field-label--type-inline'>White<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_32_4\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_4'>Gender Identity<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_32_4' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_32_5\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >I am a(n)...<\/legend><div class='gfield_description' id='gfield_description_32_5'>Please check all that apply:<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_32_5'><div class='gchoice gchoice_32_5_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.1' type='checkbox'  value='Veteran'  id='choice_32_5_1'   aria-describedby=\"gfield_description_32_5\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_32_5_1' id='label_32_5_1' class='gform-field-label gform-field-label--type-inline'>Veteran<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_5_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.2' type='checkbox'  value='LGBTQIA+'  id='choice_32_5_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_5_2' id='label_32_5_2' class='gform-field-label gform-field-label--type-inline'>LGBTQIA+<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_5_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.3' type='checkbox'  value='First Generation'  id='choice_32_5_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_5_3' id='label_32_5_3' class='gform-field-label gform-field-label--type-inline'>First Generation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_5_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.4' type='checkbox'  value='BIPOC'  id='choice_32_5_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_5_4' id='label_32_5_4' class='gform-field-label gform-field-label--type-inline'>BIPOC<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_5_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.5' type='checkbox'  value='Intersectionality'  id='choice_32_5_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_5_5' id='label_32_5_5' class='gform-field-label gform-field-label--type-inline'>Intersectionality<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_5_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.6' type='checkbox'  value='Other'  id='choice_32_5_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_5_6' id='label_32_5_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_32_20\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_20'>Tell Us More<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_32_20' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_32_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are You a Transfer Student?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_32_9'>\n\t\t\t<div class='gchoice gchoice_32_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Yes'  id='choice_32_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_9_0' id='label_32_9_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_32_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='No'  id='choice_32_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_9_1' id='label_32_9_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_32_10\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_10'>What school did you attend prior?<\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_32_10' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_32_11\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_11'>Major<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_32_11' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_32_12\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >How Did you Hear of the MFP Program?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_32_12'><div class='gchoice gchoice_32_12_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.1' type='checkbox'  value='Flyer'  id='choice_32_12_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_12_1' id='label_32_12_1' class='gform-field-label gform-field-label--type-inline'>Flyer<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_12_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.2' type='checkbox'  value='Website'  id='choice_32_12_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_12_2' id='label_32_12_2' class='gform-field-label gform-field-label--type-inline'>Website<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_12_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.3' type='checkbox'  value='From a Friend'  id='choice_32_12_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_12_3' id='label_32_12_3' class='gform-field-label gform-field-label--type-inline'>From a Friend<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_12_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.4' type='checkbox'  value='From a Professor'  id='choice_32_12_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_12_4' id='label_32_12_4' class='gform-field-label gform-field-label--type-inline'>From a Professor<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_12_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.5' type='checkbox'  value='Other'  id='choice_32_12_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_12_5' id='label_32_12_5' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_32_13\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_13'>Benefits<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_32_13'>Please describe how the MFP Program would benefit you? (100-250 words max)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_32_13' class='textarea large'  aria-describedby=\"gfield_description_32_13\" maxlength='1100'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_32_14\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_14'>Program Interest<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_32_14'>Write a brief statement explaining why you would like to participate in this mentoring program. (100-250 words max)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_14' id='input_32_14' class='textarea large'  aria-describedby=\"gfield_description_32_14\" maxlength='1100'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_32_15\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_15'>Areas of Focus<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_32_15'>Are there any specific areas you would like to focus on within the MFP program? Please explain. (100-250 words max)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_15' id='input_32_15' class='textarea large'  aria-describedby=\"gfield_description_32_15\" maxlength='1100'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_32_16\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_16'>Qualities<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_32_16'>What qualities do you think a good mentor should have? (100-250 words max)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_16' id='input_32_16' class='textarea large'  aria-describedby=\"gfield_description_32_16\" maxlength='1100'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_32_17\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Weekly Availability<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_32_17'><div class='gchoice gchoice_32_17_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.1' type='checkbox'  value='Mondays'  id='choice_32_17_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_17_1' id='label_32_17_1' class='gform-field-label gform-field-label--type-inline'>Mondays<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_17_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.2' type='checkbox'  value='Tuesdays'  id='choice_32_17_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_17_2' id='label_32_17_2' class='gform-field-label gform-field-label--type-inline'>Tuesdays<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_17_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.3' type='checkbox'  value='Wednesdays'  id='choice_32_17_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_17_3' id='label_32_17_3' class='gform-field-label gform-field-label--type-inline'>Wednesdays<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_17_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.4' type='checkbox'  value='Thursdays'  id='choice_32_17_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_17_4' id='label_32_17_4' class='gform-field-label gform-field-label--type-inline'>Thursdays<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_17_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.5' type='checkbox'  value='Fridays'  id='choice_32_17_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_17_5' id='label_32_17_5' class='gform-field-label gform-field-label--type-inline'>Fridays<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_32_18\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Preferred Time of Day<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_32_18'><div class='gchoice gchoice_32_18_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.1' type='checkbox'  value='Mornings'  id='choice_32_18_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_18_1' id='label_32_18_1' class='gform-field-label gform-field-label--type-inline'>Mornings<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_18_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.2' type='checkbox'  value='Afternoons'  id='choice_32_18_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_18_2' id='label_32_18_2' class='gform-field-label gform-field-label--type-inline'>Afternoons<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_18_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.3' type='checkbox'  value='Evenings'  id='choice_32_18_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_18_3' id='label_32_18_3' class='gform-field-label gform-field-label--type-inline'>Evenings<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_32_19\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Goals<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_32_19'>What do you hope to gain from the program?<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_32_19'><div class='gchoice gchoice_32_19_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.1' type='checkbox'  value='Life Skills'  id='choice_32_19_1'   aria-describedby=\"gfield_description_32_19\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_32_19_1' id='label_32_19_1' class='gform-field-label gform-field-label--type-inline'>Life Skills<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_19_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.2' type='checkbox'  value='Career Guidance'  id='choice_32_19_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_19_2' id='label_32_19_2' class='gform-field-label gform-field-label--type-inline'>Career Guidance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_19_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.3' type='checkbox'  value='Academic Support'  id='choice_32_19_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_19_3' id='label_32_19_3' class='gform-field-label gform-field-label--type-inline'>Academic Support<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_32_19_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.4' type='checkbox'  value='Other'  id='choice_32_19_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_19_4' id='label_32_19_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_32_6\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_6'>Tell Us More<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_32_6' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_32_21\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_21'>Bilingual\/Multilingual<\/label><div class='gfield_description' id='gfield_description_32_21'>If you speak any languages other than English, please specify.<\/div><div class='ginput_container ginput_container_text'><input name='input_21' id='input_32_21' type='text' value='' class='large'  aria-describedby=\"gfield_description_32_21\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_32_22\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_22'>Hobbies and Interests<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_32_22'>Please list any hobbies or interests you have.<\/div><div class='ginput_container ginput_container_text'><input name='input_22' id='input_32_22' type='text' value='' class='large'  aria-describedby=\"gfield_description_32_22\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_32_24\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_24'>Activities<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_32_24'>What kind of activities would you like to enjoy with a mentor? <\/div><div class='ginput_container ginput_container_text'><input name='input_24' id='input_32_24' type='text' value='' class='large'  aria-describedby=\"gfield_description_32_24\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_32_23\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_23'>Clubs and Organizations<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_32_23'>What clubs or groups, if any, do you belong to in school and outside of school?<\/div><div class='ginput_container ginput_container_text'><input name='input_23' id='input_32_23' type='text' value='' class='large'  aria-describedby=\"gfield_description_32_23\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_32_25\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_25'>Favorite School Subject<\/label><div class='gfield_description' id='gfield_description_32_25'>\u201cMy favorite subject in school was\u201d (Complete this sentence):<\/div><div class='ginput_container ginput_container_text'><input name='input_25' id='input_32_25' type='text' value='' class='large'  aria-describedby=\"gfield_description_32_25\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_32_26\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_26'>Least Favorite School Subject<\/label><div class='gfield_description' id='gfield_description_32_26'> \u201cMy least favorite subject in school was\u201d (Complete this sentence):<\/div><div class='ginput_container ginput_container_text'><input name='input_26' id='input_32_26' type='text' value='' class='large'  aria-describedby=\"gfield_description_32_26\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_32_30\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_30'>Role Model<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_32_30'>What individual has served as a role model for you so far? Why? (100-250 words max)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_30' id='input_32_30' class='textarea large'  aria-describedby=\"gfield_description_32_30\" maxlength='1100'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_32_28\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Agreement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_32_28' tabindex='0'>I certify to the best of my ability that the information provided on this application is true and accurate. 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Derner School of Psychology<\/title>\n<meta name=\"description\" content=\"Apply to the Derner School of Psychology Mentoring Future Psychologists program, connecting undergraduate psychology\/neuroscience students with PhD candidates.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.adelphi.edu\/psychology\/about\/diversity\/mentoring-future-psychologists\/apply\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Apply to the Mentoring Future Psychologists Program | Gordon F. 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