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Presiding: Cris Kinghorn - Business & Finance Division - Special ...

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Please list three goals you have for this mentoring relationship.<br />

Every attempt will be made to pair you with someone based on the criteria you<br />

have supplied, however, please keep in mind that the pairings will be dependent<br />

on the pool of available volunteers.<br />

SUBMIT FORM CLEAR FORM<br />

SLA B&F DIVISION<br />

Mentoring Application – Mentor – DRAFT (1/26/2008)<br />

Name<br />

Title<br />

Organization<br />

Work Address<br />

City, State and Zip Code<br />

Phone/Fax<br />

Email<br />

Please indicate the type of mentoring experience you are seeking:<br />

__ Just Lunch __Conference __Career<br />

Please describe your work experience.<br />

Why do you want to serve as a mentor?<br />

Are there any specific personal qualities you would like to see in your mentee /<br />

protege?<br />

How much time are you willing to commit to this relationship? How much time<br />

would you expect your mentee / protege to spend with you?<br />

How would you prefer to communicate with your mentor?<br />

__Email __Phone __In person<br />

Please list three goals you have for this mentoring relationship.<br />

18

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