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Champion Mentors Sign-up
Required Required Question(s)
1.
We have launched our Veterans Across America "Champion Mentors" initiative because we believe it is the single most powerful program we can deploy to arm unemployed and under-employed veterans with the tools they need to compete for quality employment, or start businesses. Our Champion Mentors initiative is an integral part of our "Six Months to Success" veterans' employment plan, which uses business mentors, education programs and employment conferences/boot camps to jump start veteran employment. Our founding principle is simple. We are asking each one of our Champion Mentors to team-up, one-on-one, with an unemployed or under-employed mentor, with a special focus on veterans who are wounded, disabled or homeless. We are asking our champion mentors not to provide a job to the mentees they work with, but to put their personal "networks" at the disposal of the veteran mentees, so that the veteran job-seekers or entrepreneurs can follow smart "networking" leads and find their own paths to success.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

Required 2.
What is your industry or area of expertise?
 

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3.
Name of your high school?
 

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4.
Name of your college?
 

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5.
Your major area of study in college?
 

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6.
Your graduate school?
 

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Required 7.
Highest educational degree attained, academic field?
 

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8.
Hobbies?
 

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9.
Sports you play, played or enjoy watching?
 

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10.
Favorite book or type of books?
 

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11.
Favorite movie or type of movies?
 

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12.
Favorite band or type of music?
 

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13.
Favorite Web-sites?
 

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14.
For Champion Mentors who are veterans: Branch of Service?
 

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15.
Years of Military Service?
 

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16.
Final Military Rank?
 

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17.
Military Occupational Specialty (MOS)?
 

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