Thank you for your interest in becoming a Mentor with the Laser Institute! Our mentorship program connects experienced professionals with individuals seeking guidance, support, and deeper engagement within the laser, photonics, and laser safety community. Your expertise can make a meaningful impact on the next generation of professionals in our field. This application helps us match you with the right mentee based on your experience, interests, availability, and mentoring style. If you have any questions, please contact us at membership@lia.org
🔵 SECTION 1 — Contact Information

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* 1. Full Name

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* 2. Email Address

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* 3. Phone Number

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* 4. Organization

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* 5. Job Title

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* 6. Country & Time Zone

🔵 SECTION 2 — Professional Background

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* 7. Brief overview of your professional background

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* 8. Key areas of expertise (select all that apply)

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* 9. Years of experience in laser-related fields

🔵 SECTION 3 — Mentorship Preferences

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* 10. What type of mentee would you best support?

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* 11. Preferred meeting frequency

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* 12. Preferred meeting format

🔵 SECTION 4 — Motivation & Availability

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* 13. Why would you like to serve as a mentor with LIA?

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* 14. What best describes your mentoring style? (Check all that apply)

🔵 SECTION 5 — Personal Questions (Optional)

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* 15. What are some hobbies outside of work?

🔵 SECTION 6 — Agreement

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* 16. I understand that mentor/mentee matches are based on experience, goals, and availability.

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