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1. Please provide your contact information 

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2. What do you consider to be your strengths? Choose top three areas from the options listed below: (Required.)

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3. How much time can you devote to this activity?

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4. What types of institutions do you have experience working with? 
(Check all that apply)
(Required.)

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5. What is your teaching/learning style?  (select up to two options)”. (Required.)

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6. How do you prefer to communicate when working with others?

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7. What size is your audit shop? (Required.)

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8. Have you participated in the ACUA Mentorship Program previously?

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9. Please list the year(s) you participated, your role (mentor/mentee), and your partner?

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10. Why do you want to be a mentor? (Required.)

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11. Would you be interested in meeting with your mentee at the next AuditCon? (Required.)

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12. Would you be interested in mentoring more than one person?

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13. Please provide the time zone you reside in.

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