* 1. What is the biggest thing you need help with?  

* 2. How much time can you devote to this activity?

* 3. What is your learning style?

* 4. How would you describe your communication style?

* 5. Would you prefer working with a mentor who works for or has worked for the below. Please check all that apply.

* 6. Please provide number and experience of staff.

* 7. What would you like to gain from this experience?

* 8. Please provide your contact information

* 9. Please provide the time zone you reside in.