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Women's Mentoring Circle Form
Mentoring Circle
Each Circle may be comprised of CPA and non-CPA professionals and educators. Each Mentoring Circle meets at least quarterly or as desired to address issues affecting women in the accounting field. PLEASE NOTE: YOU MUST BE A MEMBER OF THE ILLINOIS CPA SOCIETY TO PARTICIPATE IN THIS PROGRAM.
Name
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Member ID No.
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Firm/Company Name (if any)
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Size of Firm/Company
Under 50
50-100
Over 100
Practice Area
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Position/Title
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Years of Work Experience
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Mailing Address
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City
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State
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Zip
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Email
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Phone
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Preferred Contact Information (If different)
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Would you prefer to meet with your Mentoring Circle In:
Downtown Chicago
Suburbs
Location - Other (please specify)
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Please initial below that you agree to meet with your assigned Mentoring Circle at least four times a year.
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