To apply to the City Tech Mentoring Network, please submit the following information.


Name *
Email *
Department *
Rank *
Discipline/Area(s) of Specialization *
What topics would you like to focus on? *
Required
If you would be interested in working with faculty who seek mentoring from a member of a particular affinity group -- for example, faculty who identify as female, African-American/Black, Asian/Asian American, Hispanic/LatinX, LGBTQ+, Multi-Lingual, or any other -- please indicate below:
If you speak a language other than English and would be willing to mentor, at least in part, in that language, please indicate:
Short bio for list of mentors to be posted to a Faculty Commons Mentoring Network webpage -- please provide an overview of any roles and accomplishments that would help appropriate mentees connect with you (OTHER than information already provided above, link to faculty page, etc.): 
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