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* 1. Please provide your name and ATTUID

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* 2. Would you like to be considered for a mentor or mentee spot?

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* 3. Are you a hiring manager?

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* 4. Are you familiar with Amplify?  Please check all that apply.

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* 5. Have you ever completed a Meyers-Briggs Assessment?

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* 6. Have you ever completed a skills assessment that matches your experience and preferences to a job?

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* 7. What are your professional goals? (If more than one, please select "other" and provide additional details.)

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* 8. What is your ideal job/position?

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* 9. Have you begun to identify the tasks necessary to achieve your goal?

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* 10. Have you taken any steps toward achieving your goal?

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* 11. Would you prefer a local mentor or is geographic proximity not a concern?

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* 12. What are you looking to accomplish through participation in this program?

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* 13. What topics are you hoping to cover, or learn more about, as part of this program?

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* 14. Do you have access to AT&T internal business systems (PLE, amplify, t-Space) after work hours?

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* 15. Do you have access to Telepresence or other video meeting applications?

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* 16. What are your hours of availability?  (Please include time zone)

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* 17. I confirm that I have spoken to my manager about this program and have received their permission to participate.

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* 18. I understand my participation may be limited to non-work hours.

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* 19. I commit to completing additional courses or reading in preparation for my meetings with my mentor as outlined in the program.

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