Thank you for your interest in the 2018 Southeast WICT Circle Mentoring Program. The format of circle mentoring provides our mentees additional touch points with mentors,  as well as giving mentors the ability to focus on areas they are passionate about helping mentor others in. We look forward to your involvement and investment with our WICT Southeast mentees.

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* 1. Name:

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* 2. Company/Location

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* 3. Primary Email

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* 4. Office Phone

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* 5. Mobile Phone

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* 6. Job Title

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* 7. Are you a people Manager?

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* 8. Please provide a brief description of your education and/or career history.

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* 9. What are your most rewarding personal and/or professional achievements to date?

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