NE DPG Become a Mentor
Full Name with Credentials
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Email address (this will not be shared publicly- only used for NE DPG outreach for mentor events)
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Phone number (this will not be shared publicly- only used if we cannot get ahold of you via email)
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Would you like to be listed on the NE DPG website as one of our mentors?
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Yes
No
What is your area of expertise? (check all that apply)
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Private Practice (1-on-1 or Group Counseling)
Private Practice (Online/Self-Paced e-Courses & Resource Development)
Private Practice (Culinary, Recipe Development, & Meal Planning)
Private Practice (Other)
Corporate Wellness
Communications/PR/Marketing
Technology & Social Media
Public Speaking & Media
Writing/Blogging
Branding & Consulting
Leadership & Management
Would you like to be a speaker at a Halfie Hour (30-Minute informal Q&A) webinar this upcoming year?
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Yes
No
Would you like to write an article in our NE DPG Ventures Newsletter this upcoming year?
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Yes
No
Would you like to be involved in adding to or updating the NE Toolkit/Resources this upcoming year?
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Yes
No
Would you like to be involved with NE DPG at FNCE® this upcoming year?
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Yes
No
Are there any other ways you would like to be involved in NE DPG this year?
Submit
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