Mentor Interest

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* 1. My name is:

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* 2. I work at:

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* 3. My current job title is:

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* 4. I want to mentor students of color, because: (Provide no more than five sentences)

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* 5. I am available:

2-5 hours/week

5-10 hours/week

Anytime

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* 6. My number is:

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* 7. My e-mail is: