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* 1. Please Fill Out Your Contact Information

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* 2. What is your Major/Minor?

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* 3. What do you think will be the top 3 challenges to a successful mentoring relationship?

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* 4. What qualities do you think are essential in a good mentor?

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* 5. Please list any new professional areas you are looking to explore or develop.

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* 6. Please describe your professional development goals.

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* 7. Please list what you consider to be your 3 biggest successes to date.

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* 8. Describe your ideal job opportunity.

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* 9. Are there any factors/preferences that we should take into consideration when matching you with a mentor?

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* 10. Please list any work experiences (work, internships, volunteer) that relate to your major or career goals.

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