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Mentoring  Application

Mentoring Application

Due to the number of qualified applicants who are sincerely committed to this work and our limited availability of time for high quality mentoring relationships, we must select only applicants we feel will benefit most from this association. Please understand that we support and appreciate your interest and regret that acceptance to this program must be restricted.

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Are you a ... ?
Have you completed the PPSC Post-Graduate Advanced Training Program: The Art of Holding Perinatal Women in Distress?

First Reference

Second Reference

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Please state that this information has been submitted by you and it is correct: *

Don't forget to read, sign and return the Mentoring Agreement.

Thank you! Applications are reviewed on a first-come, first-served basis. Once your application has been reviewed, you will be contacted regarding your acceptance status.

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