This 8-question survey is for Madison College faculty members involved in the Mentoring Program and should take a maximum of 10 minutes. Your input is valuable. This survey is non-confidential and your name will be required. Completion of this survey is required, along with the Faculty Mentor Stipend Request Form, in order to receive the $250 stipend (the stipend is available only to FT Faculty Mentors and PT Faculty Mentors & Mentees).

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* 1. I served as a:

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* 2. Please provide the following information for payment purposes

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