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* 1. Please enter your contact information:

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* 2. Why would you like to participate in the program as a mentee?

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* 3. What area(s) of the industry are you interested in?

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* 4. What do you hope to get out of the mentorship program?

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* 5. Is there anything else you would like us to know about you to help us find you a good mentor match?

I understand the commitment to this program lasts 7 months and requires approximately 1 hour of time per month
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