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Thank you for stepping up as a mentor!

This application is intended for leaders in the nuclear field.
Questions about the program?  email vp@naygn.org

AMPers (ie participants) will be paired with a leader (ie YOU!) outside of their current company.  The mentoring sessions will be virtual.

The program will consist of 1 training session (May) and a kickoff meeting in May.  The mentoring will consist of approximately 6 sessions from May to September 2023. 

In addition, participants will be encouraged to shadow their leader/mentor (ie YOU) and to perform a task-based leadership activity.  

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* 1. Name

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* 2. Email

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* 3. Company

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* 4. Department

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* 5. Title

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* 6. Upload a professional headshot

PDF, PNG, JPG, JPEG file types only.
Choose File

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* 7. How would you describe your leadership style?  Select all that apply.

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* 8. Which of the following describes your career experience?  Select all that apply.

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* 9. Select the category that best describes your current role.

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* 10. Tell us a little about yourself and why you are interested in being a mentor.

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* 11. Do you intend to attend the NAYGN Conference in Minneapolis June 21-23?  (If any participant/leader pairings happen to attend the same conference, we would like them to meet up!)

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* 12. Do you intend to attend the ANS Annual Meeting in Indianapolis June 11-14? (If any participant/leader pairings happen to attend the same conference, we would like them to meet up!)

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