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Contact Information
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Prefix
First Name
Last Name
Suffix
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
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Career Data
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(You may check multiple boxes if your occupation encompasses more than one area.)

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Logistics
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Other Questions
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What would this person hope to gain from your relationship? Define any personal qualities that are important to you in a mentoring relationship
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I agree to fully participate in the BYHP Mentor Program. If selected to be a mentor, I agree to meet with my mentee(s) in-person or virtually at least once every two months over the next six months at a time and place that is mutually convenient. I understand that the purpose of the Program is to encourage professional development and to build mutually beneficial relationships between established mid-to-senior level professionals and early-to-mid-career professionals or graduate students. I am under no obligation to offer a new job to my mentee(s), but agree to help guide them on their professional path.
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Type name.