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ABCT Mindfulness and Acceptance SIG Application
* 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
