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* 1. Name and Contact Information

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* 2. This program is open to graduate and undergraduate students at the University of TN, Knoxville. Please tell us if you are a graduate or undergraduate student, major, GPA and projected graduation date.

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* 3. List 3 words that would best describe you.

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* 4. Please provide a brief description of your background, education, any internships, extracurricular activities and/or special interests.

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* 5. Briefly describe your career aspirations.

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* 6. Why would you like to be considered for the 2019-2020 Student Mentoring Class? (100 Word Max)

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* 7. What topics would you like your mentor to focus on?

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* 8. What lunch and learn topics would you like to hear more about?

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* 9. If you are selected as a part of the program, you will be expected to complete the following. Please verify in agreement if you are be able to commit to the listed items below.

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* 10. How did you hear about the program? (Check all that apply.)

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