2019-20 MILE Mentor Form
Thank you for your interest in becoming a MILE Mentor! This form will help us create meaningful matches and will enable us to identify the scholars that will benefit the most from your expertise and support. We appreciate your time.
First Name *
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Last Name *
Your answer
Contact Phone *
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Contact Email *
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Mailing Address *
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Professional Title: *
Your answer
Current organization or professional affiliation: *
Your answer
Are there any other careers where you have professional expertise? If so, please describe:
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What interests you in becoming a MILE Mentor? *
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What areas can you support scholars in? (please check all that apply) *
Required
Special Categories (Please check any that apply to you):
Please indicate your interest and availability *
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New Pacesetter mentors must attend a Mentor training. Please indicate which session you will be attending (Please note returning mentors and Baton Mentors do not need to attend) *
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