OBSA 7C Student-Alumni Mentorship Recruitment Survey

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* 1. First Name, Last Name

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* 2. I am a(n)

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* 3. I attend/attended

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* 4. What industry are you interested in/ are currently working in?

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* 5. What country do you live in?

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* 6. What state do you live in?

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* 7. What city do you live in?

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* 8. Are you willing to be in contact with your mentee/mentor at least twice a month, either over email, phone, skype or in person?

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* 9. Would you be willing to attend the annual Black Student-Alumni Brunch, if selected to receive an OBSA Alumni Mentorship Award?

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* 10. Please share anything else about yourself that you would like us to know and consider in matching you with a mentor/mentee:

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* 11. What are some specific things that you would like to see in OBSA’s 7C Student-Alumni Mentoring Program?

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* 12. If you are a current student, would you like to specifically request an alum mentor? If so, please write their name in below:

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* 13. What is your email address?

Please view the following short TED Talk video on Critical Mentoring by Claremont Colleges alumnus, Dr. Torie Weiston-Serdan:
https://www.youtube.com/watch?v=QICreEHuuMQ

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