SEO Protege: Patron Questionnaire
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Thank you for your interest in participating in SEO Protege! The questionnaire below helps SEO learn more about you to make the best matches possible.
If you have any questions about the program, please do not hesitate to contact Kristina Cepeda, Program Manager at
kristina.cepeda@seo-usa.org
.
Personal Information
First Name
Middle Initial
Last Name
Tell us how to pronounce your name
Phone
Email
Address Line 1
Address Line 2
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Country
Please select...
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos ( Keeling ) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Côte d ' Ivoire
Croatia ( Hrvatska )
Cuba
Cyprus
Czech Republic
Congo ( DRC )
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands ( Islas Malvinas )
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé and Prìncipe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Kitts and Nevis
St. Lucia
St. Pierre and Miquelon
St. Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Viet Nam
Virgin Islands ( British )
Virgin Islands
Wallis and Futuna
Yemen
Zambia
Zimbabwe
Postal Code
With which gender do you most closely identify?
Female
Male
Prefer not to say
What are your preferred pronouns?
He/Him/His
She/Her/Hers
They/Them/Theirs
Other (please specify below)
With which race or races do you identify? (check all that apply)
Asian / Pacific Islander
Black / African American
Hispanic or LatinX (May be of any race)
Native American
White (Non Hispanic)
I Identify with a race not listed here
I would prefer not to indicate my race
How did you hear about SEO Protege?
SEO Leadership Institute Newsletter
SEO Email Campaign
SEO Alumni
SEO Staff
LinkedIn
Social Media
MLT (Management Leadership for Tomorrow)
Other (please specify)
Are you an SEO Alum?
Yes
No
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Work and Education
Most Recent SEO Program Year
SEO Program (check all that apply)
SEO Scholars
SEO Career
SEO Tech Developer
SEO Law
SEO Alternative Investments
Other (please specify)
Current Employer
Current Title
Current Career Field
Additional Career Fields you have experience in
LinkedIn Profile (optional)
Undergraduate College/ University Attended
Undergraduate Degree Earned
Field of Study
Graduate College/ University Attended
Graduate Degree Earned
Years of Experience
5-10 Years
10-15 Years
15-20 Years
20+ Years
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Work and Education
Current Employer
Current Title
Current Career Field
Additional Career Fields you have experience in
LinkedIn Profile (optional)
Undergraduate College/ University Attended
Undergraduate Degree Earned
Field of Study
Graduate College/ University attended
Graduate Degree Earned
Years of Experience
5-10 Years
10-15 Years
15-20 Years
20+ Years
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Personality and Interests
This section is about getting to know you: your personal and professional interests. Protégés will be asked similar questions and your shared interests will help determine a match. Please be open and thorough in your responses.
How would you describe your personality? (check all that apply)
Agreeable
Calm
Determined
Easygoing
Energetic
Enthusiastic
Frank
Funny
Pro-active
Quick-witted
Quiet
Reserved
Self-confident
Shy
Sociable
Talkative
Career Interests (check all that apply)
Arts & Entertainment
Business
Communications
Education
Engineering
Government
Healthcare
Human Services
International
Law & Public Policy
Non-Profit & Social Services
Sciences
Technology
Academic Interests (check all that apply)
Accounting
Advertising
American Studies
Anthropology
Architecture
Art History
Art Studio
Biochemistry
Biology
Biophysics
Business
Business Administration
Chemistry
Classics (Greek / Latin)
Communication
Computer Science
Criminal Justice
Economics
Education
Education (Teaching)
Engineering
English
Foreign Language, Literatures, and Linguistics
Foreign Languages/Literature: Chinese
Foreign Languages/Literature: French
Foreign Languages/Literature: German
Foreign Languages/Literature: Italian
Foreign Languages/Literature: Japanese
Foreign Languages/Literature: Russian
Foreign Languages/Literature: Spanish
Geography
Geological Sciences
Health Sciences
History
International Relations
Journalism
Library Sciences
Marketing
Mathematics
Music
Nutrition
Philosophy
Physics & Astronomy
Political Science
Psychology
Religion / Theology
Social Sciences
Social Work
Sociology
Visual and Performing Arts
Women's and Gender Studies
What are your favorite things to do in your spare time? (check all that apply)
Go to the movies
Watch TV
Visit art/history museums
See live music
Perform in a band
Spend time outdoors like the beach, park, mountains, etc.
Watch sports
Play sports
Take classes like dance, art, music, etc.
Go out to eat
Go dancing
Have dinner with family and friends
Go shopping
Explore new places
Volunteer or do community service
Participate in religious activities
Go to the gym
Read books, articles, blogs, etc.
Play video games
Write in a journal, write poetry, blog, etc.
Take pictures
Design/create fashion
Design flyers/graphics
Produce music/DJ
Produce videos
Hair/beauty Body art/design
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What motivates you to participate in this program?
Please copy/paste your professional biography below.
What else should we know about you in order to make the best possible match?
Contact Information