Thank you for your interest in the 2019 Global WICT Southeast Mentoring Experience in partnership with WICT Latin America. Our mentors and mentees will be meeting in person for (4) in-depth, topic-driven workshops lead by industry executives in addition to (5) 1:1 mentor/mentee sessions. We look forward to your involvement and investment with our WICT Southeast and Latin America mentees.

APPLICATIONS MUST BE COMPLETED NO LATER THAN 5PM on APRIL 30TH

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* 1. Name:

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* 2. Company/Location

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* 3. Primary Email

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* 4. Office Phone

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* 5. Mobile Phone

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* 6. Job Title

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* 7. Are you a people Manager?

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* 8. Are you comfortable holding your mentoring sessions exclusively in Spanish?

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* 9. If yes or either, are you interested in the opportunity to be partnered with a mentee in the WICT Latin America chapter via telecom, Skype, FaceTime etc.?

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* 10. Please provide a brief description of your education and/or career history.

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* 11. What are your most rewarding personal and/or professional achievements to date?

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