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* 1. Please enter your first and last name

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* 2. Please populate your email address

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* 3. Would you like to be a Mentor or Mentee? Note: A Mentor must be a manager and above. Anyone can be a mentee.

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* 4. What industry are you currently working in? (Select all that apply)

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* 5. What industries are you most interested in learning about?

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* 6. What skills are you looking to develop? (Select up to 3)

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* 7. What type of mentorship would be most valuable to you?

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* 8. How would you prefer to engage with your mentor? (Select all that apply)

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* 9. What training formats do you prefer? (Select all that apply)

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* 10. What is your current role or level of experience?

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* 11. What challenges are you currently facing in your professional growth?

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* 12. What qualities or background would you prefer in a mentor? (Select all that apply)

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* 13. What is your primary goal for joining this mentorship program?

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* 14. Is there anything else we should know to help match you with the right mentor?

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