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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. If Selected, are you willing to commit to 1-2 hours per month?

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* 5. Please select one (1) of the following forums to join.

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* 6. What is your main goal for participation in this program?

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* 7. Please rate yourself in these Personal Growth focus areas.

  Little Experience and Ability Some Experience and Ability Significant Experience and Ability
Accountability and Initiating Action
Adaptability
Balance Work & Family
Career Path Development
Community Service
Confidence
Continuous Learning
Dealing with Ambiguity
Determination
Developing through Coaching
Emotional Intelligence
Innovation
Job Transition
Relationship Building
Single Parent
Strategic Thinking
Stress Management
Technical Knowledge

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* 8. Please rate yourself in these Skill Development focus areas.

  Little Experience and Ability Some Experience and Ability Significant Experience and Ability
Building Strategic Working Relationships
Business Acumen
Communication
Finance/Accounting
Hiring & Staffing
Human Resources
Leadership
Managing Diversity
Managing through Motivation
Marketing
Negotiating
Networking
New Manager
Operations & Strategy
Presentation Skills
Profitability
Project Management
Public Speaking
Sales
Social Media
Team Building
Time Management
Written Communication

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* 9. Please rate yourself in these Student Topics focus areas.

  Little Experience and Ability Some Experience and Ability Significant Experience and Ability
Mock Interviews
New to the Workplace
Resume Drafting
Success Strategies

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* 10. Areas that were rated "Some Experience and Ability" or "Significant Experience and Ability" are areas you should consider selecting as topics you'd be willing to mentor others on.

Focus areas which were rated "Little Experience and Ability" are areas you should choose to work on with a mentor of your own.

Keeping that in mind, which of the focus areas will you choose to work on with a mentor over the next year? (choose 4)

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