2023 WTS Mentoring Program Questionnaire (Mentor)
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Full Name *
Email Address *
Current Title/Role & Company/Agency *
LinkedIn Profile (If available & up-to-date) or describe your experience in the industry in 200 words or less *
Which professional organization are you a member of?  (Select All that Apply) *
Required
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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Required
Identify the professional areas you would like to provide mentorship in. (Select all that apply)
*
Required
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)
*
Required
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."
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