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Become a Mentor

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Your Name*

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Social Media Handles*

Preferred contact method*

Phone

Email

Have you Attended at Least one of Our Events/Meetups?

Yes

No, Someone referred me to be a Mentor.

Area of Academic specialization:*

Areas of Professional Expertise:*

To get full Benefits of the Mentorship Program we ask that you commit to meetings with your mentee at least one Call per Week by E-mail or Telephone. Why are you Interested in being a Mentor?*

Please share any additional Background information about yourself which can help to match you with a Mentee?*

Questions or Comments*

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