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* 1. What is your name?

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

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* 3. Country in which you are based:

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* 4. What is your gender?

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

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* 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)?

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

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

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

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

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

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

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

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* 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?

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

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

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* 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.

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

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

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

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

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* 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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