APEN Mentoring Scheme Registration - Mentees 2025

1. Mentee Registration

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* 1. Thank you for your interest in being mentored. Please answer the following questions to allow us to match you with a suitable mentor.

Name: *

Company/Business: *

Job Title:

City/Town: *

State/Region: *

Country: *

Email Address: *

Phone Number: *

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* 2. Why are you interested in having a mentor? (max 200 words)

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* 3. Please list your top three extension goals? (max 100 words)

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* 4. What is your extension experience? (max 200 words)

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* 5. What qualities or experiences are you looking for in a mentor? (max 100 words)

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* 6. Please share any additional information that you think might be helpful in finding a suitable mentor. This could include a short description of your background and areas of interest. (max 200 words)