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* 1. First and Last Name:

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* 2. Which province are you currently residing/ arriving in?

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* 3. What is your mentor's name?

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* 7. Any specific comments/ feedback to your mentor?

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* 8. Would you like us to share your feedback with your mentor?

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* 9. My mentor helped me: (Please select as many options as applicable)

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* 10. Have you and your mentor agreed to stay in touch?

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* 11. Do you have any additional recommendations for the mentoring program?

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* 12. Would you like to share a quote about the program? (Will be used in program outreach):

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* 13. Are you interested in becoming a Canada InfoNet mentor after 2 years of work experience in Canada?

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