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* 1. Identification Information

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* 2. Phone Contact Information

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* 4. Please select how you would like to participate in the program

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* 5. Please affirm you will be able to commit to meeting & communicating regularly (at least once a month) with your mentorship partner during the program timeframe ( July- January 2026.)

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* 6. What is the reason for participating in the program? What are you looking for from the program?

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* 7. Are you an active Chicago SHRM member?

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* 8. Please select your preference

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