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Mentoring - Mentee Profile Form

As a mentee you:

  • Maintain a respectful consideration of the mentor's time by being prompt and available for meetings
  • Are proactive in interacting with your mentor or mentor resource
  • Follow through on recommendations, especially if you have solicited the mentor for specific advice





Name:*
E-Mail Address:*
Phone Number:*
Company or College:*
If Student (Major):
City*, State*, Zip*
Country:*
Cell Phone: (if different)
Discipline:

Status (If applies):

My Interest is in:*

My best time of availability:*

Do you have a mentor preference?
Name of Preferred Mentor:

The mentoring program could best assist me by providing:
 

*Asterisk indicates fields that must be completed.

If you need any additional information please contact our mentoring committee at mentoring@blackactuaries.org



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