LinkedIn Profile (If available & up-to-date) or describe your experience in the industry in 200 words or less *
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Which professional organization are you a member of? (Select All that Apply) *
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How many years of experience do you have in your industry? *
Which role best represents what you do? *
Which of the below best describes your career path?
(Select all that apply) *
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Identify the professional areas you would like to provide mentorship in. (Select all that apply) *
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Based from your selection above, please describe the areas you can be helpful in providing mentoring (200 words max) *
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Which of the following method(s) do you prefer to communicate with your mentor/protégé? (Select all that apply) *
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Please identify any special circumstances that we should be aware of when matching you with a mentor (e.g. conflict of interest situations). If none, state "n/a." *