2026-2027 SWHPN Mentorship Application
Applications for the Mentorship Cohort will be accepted now through 9am PST February 23, 2026.
Mission
SWHPN enhances hospice and palliative care social work through mentorship, education, community building, and advocacy as change agents committed to equity and anti-racism. We start with ourselves to dismantle harms perpetuated within the system in which we exist.
Vision
All people living with serious illnesses have access to compassionate, comprehensive, whole person care that honors lived experiences and is accountable to historical harms.
Name
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First Name
Last Name
Credentials:
Preferred Pronouns
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Phone Number
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Please enter a valid phone number.
Email (that you would want to use with your mentorship matching)
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example@example.com
Please indicate your preferred method of communication:
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Phone Call
Text
Email
Mighty Networks
I would like to be a:
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Mentor
Mentee
Are you a current SWHPN member?:
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Yes
No
What city and state do you work in?:
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What time zone do you reside in?:
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Hawaii
Alaska
Pacific
Mountain
Mountain Standard
Central
Eastern
Other
If you selected other, please enter time zone below:
What is your area of practice (if any)?
Hospice
Palliative Care
Hybrid
Retired
Academia/Research
Private Practice
Other
If you selected other, please enter area of practice below:
Specialty area of focus
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Pediatrics
Young adults/AYA
Adults
Geriatrics
Grief/bereavement
Leadership
Active duty and Veterans
Research
LBGTQIA+
Ethics
Neuro
Oncology
MAID
Private practice
Policy
Rare disease
Consulting
Other
Where do you practice?:
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Hospital
Home-based
Facility-based
Community/Clinic
University
Private Practice
Other
If you selected other, please enter practice location below:
How many years have you worked in palliative/end of life care? Note: SWHPN recommends mentor applicants have a minimum of 2 years of practice in PELC to consider a role as a mentor
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0-4 years
5-10 years
11-15 years
16-20 years
20+ years
What topics would you like to discuss during mentorship sessions? Please select your top 3.
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Clinical practice
Interprofessional practice
Leadership
Professional development
Sustainability in practice
Writing & publishing
Research
Presenting
Education/academia
Social justice/DEI/Anti-Racism
End-of-life care
Networking/community building
Work/Life balance
Trauma informed care
Other
If you selected other, please enter discussion topics below:
Can you commit to the expectation of 6-8 mentorship sessions in a 12-month period?
Yes
No
What else is important for us to know in making a successful mentorship match?
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If you have participated in SWHPN's Mentorship program before, please indicate the year and if you were a mentor or mentee.
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Submit
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