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* 1. What is the biggest thing you need help with? (please check all that apply)

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* 2. How much time can you devote to this activity?

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* 3. Would you prefer working with a mentor who has experience in the following? (Please check all that apply)

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* 4. What is your learning style?

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* 5. What is your communication style?

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* 6. What size is your audit shop?

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* 7. Have you participated in the ACUA Mentorship Program previously? 

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* 8. Please list the year(s) you participated, your role (mentor/mentee), and your partner. 

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* 9. What would you like to gain from this experience?

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* 10. Would you be interested in meeting with your mentor at AuditCon?

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* 11. Please provide your contact information.

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* 12. Please provide the time zone you reside in?

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