AABT Mindfulness and Acceptance SIG Application

Anyone interested in the scholarly discussion and dissemination is welcome to fill out the survey. However, only members or student members of AABT can be officially listed as members of the SIG. The central administration of AABT was very clear and firm on this point. Please mark that item on the survey with care. NOTE: You must complete this survey if you wish to be counted as a member of the SIG. Your contact information will be provided to AABT. In addition, we as a SIG (and as a listserve) will develop a policy as to what information, if any, is provided on the internet or to the general public. ALSO: All listserve and SIG members interested in being included in the database must complete this survey again even if you completed last year when we were forming the SIG. The application will remain available at all times, but we will update the database approximately once a month. Thanks in advance for your patience. We will post information to access the database of SIG and listserve members once we establish the guidelines for sharing such information. Questions about the listserve and SIG can be directed to David Fresco .

* Indicates required text

Name*:
E-Mail Address*:
Affiliation*:
Postal Address*:
Telephone*:
Fax:

AABT Affiliation*:
Member
Student Member
Non-Member
Student Non-Member
Do you have a mindfulness or meditation practice already? *
Yes
No

If yes, please describe:
What, if any, are your general research interests?
What, if any, are you general clinical interests?
What are your research interests regarding mindfulness?
What, if any, are your clinical interests regarding mindfulness?

Are you interested in being a mentor to students? *
Yes
No
If so, what level of student would you mentor?
Undergraduate
Graduate
Post-Doctoral Student
Other