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Futurexx Chats Interest Form - Professionals
Get in touch here to let us know how you would like to get involved in Futurexx Chats
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Email *
Name (first and last name) *
Way in which you would like to be a part of our mission: *
Elaborate on the above if appropriate.
Professional information (position, organization, field) *
Relevant personal information (e.g., other organizations involved with, prior experience with mentoring, if mom who can speak to work/ kids balance, etc.)
Geographical Location (city, state/ province, country) *
Name of the person from whom you heard about this (if a friend of Futurexx Chats): *
Anything else?
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