ML Parker Media Mentorship Program 
Thank you for your interest in my mentorship program! Please complete this short form and I will be in touch with you shortly. 
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Name and Contact Info
Please enter your full name and preferred pronouns.   *
What is your preferred e-mail address?  *
Professional Interests and Career Goals 
I am interested in... *
What is your background? 
Briefly describe your professional experience and your career thus far. 
*
What do you hope to get out of this mentorship program? You can list specific goals or general ambitions.  *
Thank you! 
I will be in touch soon, but if you have any questions, feel free to email me at mlparkermedia@gmail.com 
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