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* 1. First name

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* 2. Surname

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* 3. Job Title

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* 4. Sector

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* 5. Company Name

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* 6. What stage are you in your current career?

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* 7. Your primary location

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* 8. Preferred email address

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* 9. Are you applying to be a Mentor or Mentee?

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* 10. Do you have an iPhone?

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* 11. Mobile number (including country code)

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* 12. How often do you plan on meeting with your mentoring partner?

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* 13. Are you able to commit to a 6-month programme?

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* 14. What are your learning and development goals? (Please choose up to 3)

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* 15. What are your professional interests? (Please choose up to 3)

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* 16. Briefly explain what qualities you are looking for in a mentor/mentee:

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* 17. Is there already someone in the network you think would be a great mentor/mentee for you?

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* 18. If Yes, what is their name and why do you think they would be a good match?

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* 19. Are you open to having a remote mentor/mentee in a different location/timezone?

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* 20. Briefly explain your reasons for applying for the LB Women Global Mentoring Program, and what you hope to achieve:

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* 21. How do you identify?

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* 22. Would you be open to talking to WERKIN, our technology partner, about your experience?

Time commitment is minimal, just three 15-minute meetings throughout the 6 months. In return, you will have access to WERKIN's network of senior leaders and will have the opportunity to be profiled internationally as their business continues to grow.

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