SUT Mentees Application

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Name: *

Email Address: *

Phone Number *

Occupation / Area of Interest: *

Current or most recent Company / School: *

I am a: *

Young Professional

Student

My preference is to have: *

In person meetings

Remote meetings

I don't have a preference

My preferences to meet ____ times a month: *

I understand that the frequency and length will be an agreement between Mentor and Mentee.

My preferences to meet for ____ hours at each meeting: *

I understand that the frequency and length will be an agreement between Mentor and Mentee.

My first Mentor selection is: *

My second Mentor selection is: *

My third Mentor selection is: *

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