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* 1. Please complete the following contact information:

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* 2. What are you looking for from the Make Your Mark Mentor Programme?

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* 3. Number of years in work

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* 4. Please indicate the industries you have experience in starting with your current industry

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* 5. Where do you currently work?

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* 6. Do you want a mentor / mentee from?

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* 7. What is your current role and level of seniority?

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* 8. If you would like to mentor someone, please state below the expertise or topics you would be comfortable mentoring in:

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* 9. If you are looking for a mentor, please state below the areas you would like to develop, the expertise you wish to learn, and any other relevant information:

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* 10. Your data will not be used for reasons other than administrating the Make Your Mark Mentoring Programme by Tara Huddless. Specifically your data will be used to find and connect you with a suitable mentor/mentee and you will be asked for your consent before any introduction is made between you and another programme member.
By agreeing to this statement you agree to Tara Huddless contacting you in this manner. Your details will be retained for this purpose only and with not be sold to or shared with third parties.

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