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Mentor Application

* Your Name
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* Email Address
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* Preferred Mailing Address for Mentor-related Materials:
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* Have you participated in an FPA mentorship program in the past?

Responding "Yes" to either of the next two questions signifies:

1) You are interested in participating in the Mentoring Program;

2) You are willing to complete a brief demographics survey; and

3) You are giving FPA of San Diego permission to collect limited demographic data on you and your firm.

* I am interested in mentoring the following types of people (please check all that apply):
* How many hours a month can you dedicate to mentoring?
* Would you be willing to support more than one mentee?
* Are you able to meet in person with your mentee?
* What hours are you available to meet with your mentee/s (check all that apply)?
Is geographic location a factor in your choice of mentee?
If yes, what are your preferred locations?
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YOUR COMPANY/PROFESSIONAL INFORMATION

Company Name
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Are you now or have you previously been a/the firm founder and/or a majority owner?
Current Advisor Type, or Other Affiliated Professional:
How long have you been in the financial serves or related industry?
What professional designations do you currently hold (check all that apply)?
Which of the following best describes your business focus?
What is your product mix?
Please check all topics you feel equipped to address with your mentee:
BONUS QUESTION: What most inspires you to volunteer your time to help others by serving as a mentor?
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