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Application to Become a CHAMP Mentor Date: Name & Title: Address: Phone: Email: 1. Mentors are required to be American Board of Pediatrics certified in child abuse pediatrics. Submit documentation
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Begin by providing your personal information, including your full name, contact details, and any relevant identification numbers.
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Fill in the sections regarding your qualifications and experience. Highlight any previous mentoring experience or relevant skills that make you a strong candidate for the program.
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Write a brief statement explaining your motivation for becoming a mentor and how you believe you can positively impact the mentees.
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mentor-application-9-24-13 is a form or application used in a mentoring program on September 24, 2013.
Mentors participating in the program are required to file mentor-application-9-24-13.
To fill out mentor-application-9-24-13, mentors need to provide their personal information, experience, goals, and commitment to the mentoring program.
The purpose of mentor-application-9-24-13 is to gather information about mentors interested in volunteering for the program.
Information such as personal details, background, experience, skills, and availability must be reported on mentor-application-9-24-13.
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Markell McMahon Ryan Genesee CME MarkellLupstate observerships edu Mentors CV Advocacy certification Evaluating Pediatrics evaluations NY updated documentation Syracuse completion

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