* 1. What is your name?

* 2. What is your email address?

* 3. What is your academic rank?

* 4. What type of research do you do?

* 5. What topics would you like mentorship?

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

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

* 8. Please upload a copy of your CV

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