* 1. What is your name?

* 2. Please provide your email address so we can contact you:

* 3. Country in which you are based:

* 4. What is your gender?

* 5. Do you have an affiliation with an organization that you would like to share with us?

* 6. Are you attending the upcoming IETF meeting in person (note that the mentoring program is only open to in-person attendees at this time)?

* 7. What technical topic(s) brought you to the IETF?

* 8. IETF area(s) of interest, if known (see http://www.ietf.org/iesg/area.html for more info):

* 9. IETF working groups of interest, if known: (see http://www.ietf.org/wg/ for more info):

* 10. What other Standards Development Organizations (SDOs) and/or technical activities do you engage in?

* 11. What are your preferred conversational language(s), if not English?

* 12. How many IETFs have you attended in person?

* 13. Would you like to be paired with a mentor who speaks your preferred language(s), if possible?

* 14. Are you actively working on a draft at this point or have you worked on one in the past? If so, which one(s)? Do you have any experience you would like to share about this?

* 15. Do you have a preference as to your mentor's gender? [M/F/Either]

* 16. Do you have an individual mentor assigned?   If not, would you like one?

* 17. Are you interested in attending a Speed Mentoring session? This is where you can connect with several mentors and speak to each for a short period of time (5 to 10 mins per mentor).   This will be held at 15:00 on Sunday in the Lucerne Ballroom.

If you are interested, please indicate below.

* 18. Which working groups are you interested in or participating in?

* 19. Would you like language or translation assistance? If so, what language? (We will try our best!)

* 20. Do you plan to attend the newcomers' meet-and-greet on Sunday at 16:00?

* 21. Do you plan to attend the welcome reception on Sunday at 17:00?

* 22. Is there any other information that you feel that we should know about you to better help you? What do you hope to get from the mentoring program?

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