Women in Clean Energy (WICE) Mentorship Program

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* 1. Name

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* 2. Company

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* 3. E-mail

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* 4. What is your age?

18-24

25-34

35-44

45-54

55-64

65+

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* 5. What is your career stage?

Pre-career/Student

Early career

Mid-career

Late career

Retired

Other (please specify)

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* 6. Approximately how many years have you worked in clean energy?

1-4

5-10

11+

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* 7. Are you interested in a Women in Clean Energy (WICE) mentorship program?

Yes, as a mentor

Yes, as a mentee

Maybe

If "Maybe" please explain

Women in Clean Energy (WICE) Mentorship Program

Question Title

* 1. Name

Question Title

* 2. Company

Question Title

* 3. E-mail

Question Title

* 4. What is your age?

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* 5. What is your career stage?

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* 6. Approximately how many years have you worked in clean energy?

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* 7. Are you interested in a Women in Clean Energy (WICE) mentorship program?

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* 8. Any thoughts, questions, or concerns?