* 1. What is your first name?

* 2. What is your last name?

* 3. What is your email address?

* 4. What is the URL to your public LinkedIn profile?

* 5. What timezone are you located in?

* 6. What is your gender?

* 7. Why do you want to be a mentor?

* 8. Describe your ideal mentee:

* 9. Please comment on any previous experience you have as a mentor (none is ok!):

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