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WOMEN'S MENTORSHIP PROGRAM
PROGRAM SIGN UP:
First Name
Last Name
Phone Number
Email
Zip Code
Which role are you wishing to fill in the mentorship relationship?
Mentor
Mentee
What is your availability? (Check all that apply)
Daytime
Evening
Weekend
What are you hoping to gain through your participation in this program?
Is there anyone you have in mind to possibly be grouped with?
There will be a mandatory Kick-Off event for this program on January 30th at 6:30-8:00pm. This will be mandatory for participation in the program.
I Acknowledge
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