What is your name?

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* 1. What is your name?

Please provide your email address so we can contact you:

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

Country in which you are based:

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* 3. Country in which you are based:

What is your gender?

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* 4. What is your gender?

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

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

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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* 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)?

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

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

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

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

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

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

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

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

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

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

How many IETFs have you attended in person?

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

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

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

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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* 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?

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

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

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

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

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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* 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.

Which working groups are you interested in or participating in?

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

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

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

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

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

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

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

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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* 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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