AscendNAAMBA Mentoring Circles Application Form

Thanks for your interest in AscendNAAMBA's Mentoring Circles!  Tell us a little about yourself so we can match you with a great group!

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* 1. Full Name

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* 2. Email address

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* 3. Current Role & Company

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* 4. Past Roles, Functions, and Employers (as much as you want to share)

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* 5. Total years of full-time work experience

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* 6. Days of the week you are available to meet (check all that apply)

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* 7. Areas where you are available to meet (check all that apply)

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* 8. Why are you interested in joining a mentoring circle, and what do you hope to gain from this experience?

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* 9. Can you commit to joining a circle for a 6-month period, and to prioritize attendance?  (We understand conflicts arise, but prioritization and attendance helps make Mentoring Circles successful!)

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* 10. Anything else you'd like to share? Questions?

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