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Women in Listed Derivatives Mentorship Circles Application
Email address *
First Name *
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Last Name *
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Job Title *
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Company *
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Email *
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Phone Number *
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Number of years in the derivatives industry *
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I am interested in being a: *
Please indicate the area(s) of specialization within the derivatives industry (please check all that apply): *
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What are your long term professional goals? *
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What are your expectations for the WILD Mentorship program? *
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Do you have any specific areas of interest that you would like to discuss with your circle? If so, please describe. *
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What knowledge, skills and advice would you be willing to share with your circle? *
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Are you willing to commit to one year (recommended 1-2 hours per month) of participation in the WILD Mentorship Circles Program? *
Conversations and information disclosed within your mentoring circle is confidential and not to be shared with anyone outside of the group. Do you agree to honor the confidentiality of the WILD Mentorship Circles Program? *
What time of day do you prefer to meet with your circle? *
How do you prefer to meet? *
Would you like to remain in your existing circle or join a new circle? *
Please send a bio, resume or other overview of your professional background, to be shared with the other members of your circle to mentorship@womeninlistedderivatives.org to complete your application *
The next four questions are for prior participants: How satisfied were you with your experience in the Mentoring Circles?
How successful was the Mentoring Circle in supporting you meeting your personal objectives?
How satisfied were you with the leadership of your Co-leads in getting your Mentoring Circle up and running?
How satisfied were you with the level of participation of the members of your Mentoring Circle?
Based on your responses above, please feel free to share any feedback or ideas for this year's program:
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