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Location: City, State
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Zip Code
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Hometown (where you grew up)
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Primary Instrument
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Secondary Instrument(s)/Additional Skills
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Age
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Race/Ethnicity (How do you identify?)
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Gender (How do you identify?)
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Alma Mater (Any institutions attended and/or graduated from, and year degree(s) completed)
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Favorite Musicians (List 3-5 Musicians or Recordings to help us best pair you with your Mentee)
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Why are you seeking this opportunity?
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What are your goals for this mentorship? (What do you hope to get out of the program, and what do you hope to impart to your mentee?)
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How would you describe your own specific career path, and/or goals?
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