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Please fill out the form to apply as a mentor for the M.A.P.S. program.
First name
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Last name
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Company name
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Job title
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City
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State
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Email
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Affiliation
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Please Select
Page Member
Page Up Member
Page DEI Advisory Board (non-member)
What format do you prefer for connecting with your mentee (select all that apply)?
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Virtual Video Chat
Phone Call
Face to Face
What career-level mentee would you like to be paired with (select all that apply)?
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Student
1-3 years of experience
4-7 years of experience
8-12 years of experience
13-15 years of experience
Would you prefer a formal or informal meeting structure (select all that apply)?
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i.e. Formal- includes a written agreement, formal meeting times, on a monthly or quarterly basis. Informal: flexible relationship without a written agreement, structured topics, or meeting schedule.
Formal
Informal
Did you participate last year?
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Please Select
Yes
No
Do you commit to voluntary participation in the Page 2025 Mentoring to Accelerate Progress and Success (MAPS) Program for one year, with at least 4 meetings throughout the year per mentee?
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Please Select
Yes
No
What are you looking for in a Mentee?
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How many mentees would you like to be assigned?
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