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TRAINEE mentor registration 2026

Questions marked with a * are required

Registration Form

Mentor Scheme for aspiring Clinical Psychologists from ethnically minoritised backgrounds
2026

Dear Potential DClin Trainee Mentor,

Thank you for your interest in our mentoring scheme for aspiring Clinical Psychologists from Black, Asian and Minority Ethnic backgrounds.

To register to be a mentor for this year (2026) please complete the following short form.

Please note, the scheme formally runs for 1 year. To acknowledge your valued time and input as a mentor, we will be offering a Continuing Professional Development (CPD) certificate at the completion and participation of the scheme. We will provide you with an online CPD log, and ask that at a minimum you meet with your mentee on at least three occasions during the scheme.

We will be back in contact with you in March 2026 to let you know who your mentee is.

With thanks and best wishes

Dr Josie Millar & Dr Rosie Jones

Mentor Scheme Leads

Registration Form

Mentor Scheme for aspiring Clinical Psychologists from ethnically minoritised backgrounds
2026

Your Full Name:

Which year of your training are you in?

1st Year

2nd Year

3rd Year

Please provide your contact details (these details will be passed onto your mentee)

Email Address:

Phone number (optional):

How do you identify your gender as?

Female

Male

Non-binary

Prefer to self-describe

Prefer not to say

Other_comment

What is your ethnicity?

White British

Mixed or multiple ethnic groups (please specify)

Asian or Asian British (please specify)

Black, African, Caribbean or Black British (please specify)

Other ethnic group (please specify)

Prefer not to say

White Other (please specify)

Mixed or multiple ethnic groups (please specify)_comment

Asian or Asian British (please specify)_comment

Black, African, Caribbean or Black British (please specify)_comment

Other ethnic group (please specify)_comment

other

We plan to hold information sessions/ events throughout the year- likely to be held online.

If you have ideas of topics for events, please suggest these here

Any other comments:

Thank you for your interest in being part of our mentoring scheme. We will be in touch shortly.

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