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* 1. First Name

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* 2. Last Name

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* 3. What are your preferred pronoun(s)

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* 4. Email

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* 5. Phone

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* 6. School

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* 7. What WIT region does your primary residence (not school) fall into?

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* 8. Where are you at in your college/career journey?

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* 9. What are your main objectives for participating in this mentoring program? Please select all that apply.

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* 10. (Optional) Please elaborate on your answers in #8/9 (declared major, interest areas, specific skills or industry, etc.)

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* 11. (Optional) Fun fact: What was your 'dream' job when you were younger?

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* 12. (Optional) Please provide any additional information/expectations/concerns that will help us match you with a working professional

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* 13. (Optional) If you have one, please provide a link to your LinkedIn profile

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