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* 1. First Name:

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* 2. Last Name:

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* 3. Birth Date:

Date

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* 4. Hometown (include town and state/province)

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* 5. Personal Email:

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* 6. Cell Phone:

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* 7. Expected Graduation Date:

Date

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* 8. Link to LinkedIn Profile (Optional)

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* 9. Year:

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* 10. Are you a transfer student?

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* 11. What is your focus of study?

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* 12. If you are an undergrad, do you intend to obtain a master's degree?

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* 13. If you do plan to pursue your master's degree, what will it be in?

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* 14. What do you see as the next step in your professional career?

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* 15. What do you think would be the one issue that would hold you back from being able to take the next step in your career?

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* 16. What is your ultimate career goal?

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* 17. Name 1-3 skills you excel at:

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* 18. What are 1-3 areas you are actively working to improve?

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* 19. What do you hope to gain out of the relationship with your mentor?

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* 20. What type of mentor are you seeking?

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* 21. If we are not able to connect you with your preferred choice in the question above, would you still like to be paired with a mentor?

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* 22. What would your communication preference be? (Check all that apply)

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* 23. How frequent would you like to communicate with your mentor?

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* 24. What are you hoping to gain from your mentor? (Check all that apply)

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* 25. What do you enjoy doing when you are not working or focusing on your studies?

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* 26. I understand that by expressing my interest in the Niagara Hospitality & Tourism Mentoring Program, there is a level of commitment expected of me. I will be able to dedicate a minimum of one (1) hour per month to connect with my mentor. The program will run from October 2017 through September 2018. (Please note: the program will take place over the summer months. The same level of commitment is expected during those months.)

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