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* 1. Please write in your full name?

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* 2. Please list your VLS degree(s) and class year.

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* 3. Are you interested in mentoring more than one student?

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* 4. Do you prefer to mentor a recent graduate or current student?

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* 5. What is your current employment status? If you are employed please list your organization name and position.

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* 6. Please list your areas of expertise. You can select as many as pertain to you.

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* 7. What city and state are you currently employed in?

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* 8. What student groups were you involved in while a student at VLS?

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* 9. What is the best email address for us to contact you?

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* 10. Anything else we should know? 

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