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Representing Professionals Who Serve Individuals
With Communication Disorders Since 1936
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About Us
Members
Professional Development
Students
Resources
Calendar
DEI
Mentor Application
If you are human, leave this field blank.
Mentor Application
First and Last Name
*
Email
*
Geographic Location
*
Phone
*
Discipline
*
Speech-Language Pathology
Audiology
Other
Current Employment Setting
*
Please list any additional previous clinical settings you feel comfortable mentoring in
*
Check any areas in which you have experience or specialized knowledge and would feel comfortable mentoring in
*
Audiology-Pediatrics
Audiology-Adult
Adults
School-Based Therapy
Stuttering
Voice
Language Therapy
Apraxia Therapy
Phonology
Articulation
AAC
Pediatric Feeding and Swallowing
Aural Rehab
Multicultural Issues
Dysphagia
Autism Spectrum Disorders
Cognition
Other
What ages do you typically work with
*
Geriatrics
Adults
Adolescents (middle/high school)
Elementary age
Preschool
Birth to Three
Please provide any other information you feel is important for us to know during the mentor/mentee matching process
*
Submit
Student and Recent Grad Membership
MNSHA Mentorship Program
Mentor Application
Mentee Application
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