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1. Contact Information (Required.)

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2. Please summarize your leadership positions. Title(s) and dates are all we need.

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3. What kind of time commitment are you willing to invest in such program? Do you envision this being a being a one-time call, a monthly engagement, or a longer-term mentorship?

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4. Is there a specific approach you would use?

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5. What do you consider to be your areas of strengths that mentees would find beneficial? (Required.)

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6. Do you have any topics that you would not feel comfortable discussing with a mentee?

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7. Additional Questions/Comments

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