AADPRT Training Director Consultation Form

AADPRT Training Director Consultation Request

The Wellbeing and Burnout Committee wants to help AADPRT members find timely answers and advice from experienced members in the form of a private consultation. Unlike the traditional mentorship program, the consultation service is for one-off conversations that may happen via phone or video conference (Zoom, etc.). Please complete the form below to request a consultation and you will be contacted.

Name*

First NameLast Name

Email*

example@example.com

Cell Phone Number*

Please enter a valid phone number.

Your Training Director Experience:*

1-5 years6-10 years11+ years

I prefer to consult via:*

PhoneVideo conferenceNo preference

I'm seeking consultation for (select all that apply):*

Please provide any additional details (not required):