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* 1. What is your name?

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* 2. What is your email address?

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* 3. What is your academic rank?

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* 4. What type of research do you do?

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* 5. What topics would you like mentorship?

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* 6. If I am selected as a speed mentee, I will be at the Shock Meeting June 9 7:30 pm to 9pm .

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* 7. Please include a brief statement about who you are and what you hope to get out of this speed mentoring session.

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* 8. Please upload a copy of your CV

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