All participants must be current dues paying AWNY members when applying and throughout the program year. To become an AWNY member please go to www.awny.org and join. Mentoring pairings are based on the number of qualified applicants who apply (and not a guarantee of placement).

*** Please note: Incomplete applications cannot be processed. The application and resume, bio or linkedin profile are required for review by the mentoring program committee. Please be ready to upload your resume, bio or linkedin profile as the first step in completing this application.

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* First Name:

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* Last Name:

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* Job Title:

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* Company:

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* Phone:

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* e-mail:

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* Number of years in the AWNY mentoring program:

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* Number of years in business:

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* Age (optional):

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* • I understand that the AWNY mentoring program commits me to spend one (1) hour per month or a total of 12 hours (plus preparation & scheduling) with my mentee from January 2014 to December 2014 and I agree to this.

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* • I understand that I may not be able to be paired exactly to match my request below however I still would like to participate as a mentor.

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* • I am willing to work with two mentees, if needed (either meeting both together or two separate meetings)

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* Your area of expertise/organization type:

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* Your Discipline/Department. Please select no more than three.

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* Areas Where You Can Help Your Mentee. Please select no more than three.

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