Aseto'ne Network Project MENTOR Form
Contact Information, Research Interest and Availability
Name *
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Email *
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Address *
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Phone number
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University/Organization *
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Job Title *
Your answer
Webpage
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Degree/Discipline
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Race/Ethnicity
Your answer
Tribal Affiliation
Your answer
Gender
Your answer
Research Interests *
Your answer
Availability (days and times available for student to contact you)
Your answer
Preferred method of communication e.g. telephone, email, etc.
Your answer
Have you mentored students before?
If yes, when/where?
Your answer
How many students would you be willing to mentor?
Your answer
Briefly describe your mentoring style.
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Would you be able to participate in an online orientation (webinar, 45 minutes)?
How did you hear about this opportunity?
Your answer
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