UCA Women's Leadership Network First Friday Coffee - Mentorship Kickoff

Friday, October 4, 2019 | 9:00 am - 10:00 am | UCA Downtown

This event is designed for Mentors and Mentees that have registered to participate in the 2019-2020 Mentorship Program. Please contact Dr. Shaneil Ealy at sealy@uca.edu if you have questions.

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* First Name

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* Last Name

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* Email

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* Company

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* Job Title

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* Street Address

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* City, State, Zip Code

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* Primary Phone

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* Work Phone

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* I am registered as a:

Mentor

Mentee

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* Would you like to receive event alerts via text?

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* How did you hear about this event?

UCA Outreach booklet

UCA website

Social Media (Facebook/Twitter)

UCANET

Radio/TV

Newspaper/Magazine

Word of Mouth

Other

UCA would like to collect demographic information to help us better serve our customers and event participants. These questions are voluntary and any information you provide will remain confidential and will only be used in aggregate form.

UCA Women's Leadership Network First Friday Coffee - Mentorship Kickoff

Friday, October 4, 2019 | 9:00 am - 10:00 am | UCA Downtown

Question Title

* First Name

Question Title

* Last Name

Question Title

* Email

Question Title

* Company

Question Title

* Job Title

Question Title

* Street Address

Question Title

* City, State, Zip Code

Question Title

* Primary Phone

Question Title

* Work Phone

Question Title

* I am registered as a:

Question Title

* Would you like to receive event alerts via text?

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* How did you hear about this event?

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* What is your gender?

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* Please select the category that includes your age:

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* Which of the following best describes you?

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* What is the highest level of education you have completed?