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* 1. Email & Full Name:

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* 2. Please provide your biography: You can include title, job function, years of experience, previous career path, functional areas of experience, education background, current company name & type (manufacturing).

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* 3. What is your ideal career path for next 3 years in the future (Engineer, Manager, etc)

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* 4. Your top passions & hobbies:

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* 5. If you had to describe yourself (sports nut, techie, social butterfly, dog lover, foodie, health nut, traveler, etc)

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* 6. Please list the specialties or areas of you would like to improve with this mentorship:

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* 7. What’s the #1 thing you would like to get out of your mentorship: (general career advice & guidance, industry-specific expertise, management/leadership development, expanding my network)

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* 8. What are a couple of the major challenges you are experiencing and trying to overcome in your role at the moment?

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* 9. How would you prefer to communicate with your mentor/mentee?

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* 10. Do you prefer meetings to be structured environment (office), casual (restaurant, coffee shop, park), or virtual (skype/phone)?

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