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* 1. About you

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* 2. About your experience

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* 3. Select the top 5 topics in which you hope to receive guidance.

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* 4. Given my circumstances, my communications with my mentor would be...

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* 5. On a scale of 1-7 (1= not at all important, 7 = very important), how important is the following criteria for identifying a match for you?

  Not at all important Neutral Very important
Lives or works within 30 minutes of me
Age (i.e., not older than me)
Gender (i.e., same as me)

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* 6. What do I hope to gain from being mentored? What are the career goals that a more experienced professional can help me achieve? (2-3 sentences)

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* 7. Do you know of any pro-bono opportunities that may serve a good portfolio project for mentees in this mentorship program? If so, please provide contact information for portfolio project sponsor. (An ideal portfolio project would take less than approximately 25 hours to complete over 4 months as a learning opportunity for a mentee. All projects must be approved by the NYC UXPA).

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* 8. Are there any additional considerations when identifying the best match for you?

T