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Surveys
2015
March
M
Mentee survey
Mentee survey
0%
Questions marked with an
*
are required
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*
First Name
:
*
Last Name
:
*
Address 1
:
Address 2
:
*
City
:
*
State
:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
*
Zip
:
*
Phone
:
*
What activities interest to you?
How do you spend most of your time?
*
Please select each of the following that best describes you:
Cheerful
Thoughtful
Dependable
Always on time
Patient
Shy
Organized
Leader
Open-minded
Self-motivated
Good listener
Sociable
Active
Creative
Easy going
Good communicator
*
What's your biggest weakness?
*
What's your biggest strength?
*
What are your favorite classes?
*
What do you aspire to be when you grow up?
Who are your role models?
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