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* 1. Please describe your current position and responsibilities. (250 words)

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* 2. Why do you want to participate in the Prime Access mentoring Program? What functional area, skill set or expertise do you seek in a mentor? (250 words)

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* 3. Please describe two or three short-term goals that you want to pursue with guidance from a mentor. (150 words).

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* 4. Where would you like to be in your career a year from now? (150 words)

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* 5. Have you ever participated in a professional mentoring program before? If so, please describe the experience. (150 words)

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* 6. Tell us about your outside interests, preferences or schedule restraints that might help us match you with a compatible mentor. (250 words)

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* 7. What would you like us to know about you that we can't find on your resume? (150 words)

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* 8. Did someone refer you to the Prime Access program? If so, please recognize the individual who encouraged you to apply and explain why they recommended the program to you. (150 words). 

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* 9. Please provide the following information:

In addition to completing this application, please email your resume and one letter of recommendation - from your current supervisor or department head. Email these two attachments to: wictny.primeaccess@gmail.com. Please note that we are unable to consider your application without these 2 documents.

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