AASP RECORD OF MENTORSHIP HOURS (minimum 400 hours 50% must be with sport/exercise populations) – (See instructional page for guidelines in completing this form) Professional Level/Setting Total hours Total hours spent Hours spent Hours spent Skills employed during Actual hours Actual hours Comments (include information Mentor’s (Specify type of spent in this in preparation or working with working intervention of DIRECT of that would help clarify the nature Name or activity) sport or observation of Individuals with mentorship INDIRECT of the direct or indirect mentorship activity sport psychology Groups mentorship experience) services Dr. Sport H.S. Tennis Team 30 6 11 10 Goal setting, 2 1 Indirect mentorship included Psych attentional focus, telephone debriefings, negative thought correspondence, review of stopping, team handouts, review of audiotapes building with supervisor. AASP RECORD OF MENTORSHIP HOURS (minimum 400 hours 50% must be with sport/exercise populations) – (See instructional page for guidelines in completing this form) Professional Total hours hours spent Hours spent spent Skills employed during Actual of Actual hours Comments (include information Mentor’s (Specify type of spent in this in preparation or working with working intervention DIRECT of that would help clarify the nature Name sport or activity) sport or observation of Individuals with mentorship INDIRECT of the direct or indirect mentorship activity sport psychology Groups mentorship experience) services Dr. Sport H.S. Tennis Team 30 6 11 10 Goal setting, 2 1 Indirect mentorship included Psych attentional focus, telephone debriefings, email negative thought correspondence, review of stopping, team handouts, review of audiotapes building with supervisor.
AASP RECORD OF MENTORSHIP HOURS (minimum 400 hours – 50% must be with sport/exercise populations) (See instructional page for guidelines in completing this form) Professional Mentor’s Name Level/Setting (Specify type of or activity) Total hours spent in this sport or activity Total hours spent in preparation or observation of sport psychology services Hours spent working with Individuals Hours spent working with Groups Skills employed during intervention Actual hours of DIRECT mentorship Actual hours of INDIRECT mentorship Comments (include information that would help clarify the nature of the direct or indirect mentorship experience) Dr. Sport Psych H.S. Tennis Team 30 6 11 10 Goal setting, attentional focus, negative thought stopping, team building 2 1 Indirect mentorship included telephone debriefings, correspondence, review of handouts, review of audiotapes with supervisor. AASP RECORD OF MENTORSHIP HOURS (minimum 400 hours – 50% must be with sport/exercise populations) (See instructional page for guidelines in completing this form) Professional Mentor’s Name (Specify type of sport or activity) Total hours spent in this sport or activity hours spent in preparation or observation of sport psychology services Hours spent working with Individuals spent working with Groups Skills employed during intervention Actual of DIRECT mentorship Actual hours of INDIRECT mentorship Comments (include information that would help clarify the nature of the direct or indirect mentorship experience) Dr. Sport Psych H.S. Tennis Team 30 6 11 10 Goal setting, attentional focus, negative thought stopping, team building 2 1 Indirect mentorship included telephone debriefings, email correspondence, review of handouts, review of audiotapes with supervisor.