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* 1. Full Name

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* 2. Preferred Phone Number

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* 3. Preferred Email Address

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* 4. Company/Organization

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* 5. Job Title

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* 6. What fields interest you?

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* 7. What are specific interests within your chosen field?

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* 8. Why are you interested in being a mentor in the OnTRaC program?

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* 9. Have you ever held the role of being a mentor? If yes, in what capacity? Share a bit about your experience.

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* 10. What would you consider to be the necessary traits of a successful mentor? 

ArtsConnection welcomes mentors from all art forms, experience, and backgrounds. We are committed to creating a cohort that represents the diversity of the community of young people we work with. The following questions will help the ArtsConnection staff stay true to this commitment.

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* 11. Please share your racial identity:

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* 12. Please share your gender identity:

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* 13. Please share your ability status, if comfortable

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* 14. Is there anything else you would like to share about yourself?

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