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Sophomore Leadership Retreat
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Deadline: June 30, 2008

Leadership Ledger Newsletter
Spring 2007

Mentee Profile Form

Please fill out all relevent information and press the button labeled "Submit Form" at the bottom of this form. Required fields are highlighted in blue.

General Information:

Salutation:
First Name:
Last Name:

Contact Information:

Below, place the number(s) and address(es) you wish your Mentor to utilize.

Primary Phone Number:
Primary Email Address:

Additional Phone Numbers:
Additional Email Addresses:

Academic Major

Preferences for Mentorship Interests:

No Preference

First Preference:


Second Preference:


Third Preference:


Describe your employment/professional activities (if any):


Hobbies/Interests:

NOTE: You will receive a copy of this form by email.

   
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