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* 1. What is your name? 

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* 2. What is your email?

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* 3. Are you looking to be a mentor or mentee?

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* 4. If you are signing up to be a mentor, are you open to mentoring more than one student?

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* 5. What program are you in?

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* 6. Where are you located?

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* 7. What lab are you in? What is your general field of study?

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* 8. Are a Masters student, PhD student, or Post Doc?

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* 9. If you are applying as a mentee, are you interested in transferring into a PhD? If you are applying as a mentor, have you attempted to transfer into a PhD?  

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* 10. If you are returning to Ottawa in the upcoming semester, would you be interested in in-person meetings?

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