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BNM Mentee Application
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15
Questions
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1
Name
*
This field is required.
First Name
Last Name
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2
E-mail
*
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example@example.com
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3
Phone Number
*
This field is required.
Area Code
Phone Number
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4
What is the best way to communicate with you?
*
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Please Select
Phone
Email
Text
Please Select
Please Select
Phone
Email
Text
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5
Instagram handle
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6
Facebook handle
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7
Twitter handle
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8
How did you hear about us?
*
This field is required.
Facebook
Instagram
Twitter
Word of Mouth
Facebook
Instagram
Twitter
Word of Mouth
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9
What type of mentorship are you interested in?
*
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10
How many events a month can you realistically commit to? Be mindful that weekend events can last between 3-4 hours.
*
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0-1
1-2
2-3
3-4
0-1
1-2
2-3
3-4
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11
What days are you available?
*
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Weekdays
Weekends
Both
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12
What do you need from your mentor?
*
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Huge
Large
Normal
Small
Ok
quote
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Ok
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13
Tell us about yourself
*
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14
Can you commit to the program for at least one year?
*
This field is required.
YES
NO
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15
Please verify that you are human
*
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