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* 1. Please provide your contact information.

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* 2. How frequently would you be interested in meeting with the faculty member you are mentoring? Choose the most representative response.

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* 3. In what ways would you most be interested in serving as a mentor? Rank in order from 1= most interested, to 6= least interested.

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* 4. Please provide any additional information about yourself that will help us match you best with someone else. 

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* 5. Are you able to attend the college-wide mentoring program’s welcome reception on August 20th? Attendance is NOT mandatory, but highly encouraged.
(lunch provided) 

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* 6. What type of faculty do you want to mentor?



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