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Mentor Application
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Name
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First
Last
Title
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Company
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Phone
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Email
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LinkedIn profile
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Have you ever been a Mentor before?
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Yes
No
How long have you been in the Healthcare Finance profession?
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Why do you want to be a mentor?
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What roles have you had in healthcare finance? What areas of expertise and professional interests can you share with your mentee?
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What are some developmental areas that you would like to discuss with your mentee?
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Career Planning
Management Skills
Interpersonal Skills
Networking Skills
What other strengths (bilingual, math skills, relevant volunteer experience, etc.) do you bring to this program?
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Since this is a reciprocal relationship, what do you hope to achieve through this experience?
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