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Name*

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What type of mentoring program do you work with?*

Community-based

School-based

I'm not affiliated with a mentoring program

Other

What mentoring program do you work with? (please write N/A if you are an informal mentor)*

What ages of youth mentees do you currently work with and/or plan to work with in the future?

Pre-K

Elementary school-aged

Middle school-aged

High school-aged

Young adults

Other

How much familiarity do you have with evidence-based therapy/psychotherapy principles?

I've never heard of evidence-based therapy

Little to no familiarity - this is all new to me!

Some familiarity

Moderate familiarity (some training, background, experience with evidence-based treatments)

I'm an expert (I've completed training in how to provide evidence-based treatments and/or I'm a licensed mental healthcare provider)

Other

Examples include: cognitive behavioral therapy, emotion-focused therapy, dialectical behavior therapy

Why are you interested in taking this course? What do you hope to learn?

Is there anything else that would be helpful for us to know?

Full Course Quantity*

Price: $250.00

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Cardholder Name

The Center for Evidence-Based Mentoring
University of Massachusetts Boston
Jean E. Rhodes, Ph.D., Director
Frank L. Boyden Professor
Department of Psychology

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