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QWiSE Mentorship Program
Industry Mentor: Portfolio Form
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* Indicates required question
What is your name (first and last)?
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Your answer
Tell us a bit about yourself! What industry or field of study are you currently working in/pursuing and what is your current position? Please be detailed in response:
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Your answer
What value do you see in mentorship?
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Your answer
What are some of your current professional and or personal goals? What do you hope to achieve being a part of this program?
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Your answer
Please select all forms of contact in which you are open to have with a mentee/mentor below:
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In Person
Skype/Video Call
Phone
Required
Please describe your availability and preferred form of contact with mentees or mentors below (i.e. 1 hour a week through video chat).
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Your answer
Please provide us with your contact information, including email and phone number for follow up below:
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Your answer
If possible, please provide us a link to your LinkedIn profile if available. This will help compile your WiSE Mentor Portfolio.
Your answer
Finally, what are some of your personal interests, projects and or hobbies?
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Your answer
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