Alumni Mentorship Program

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Mentor Application

Name*

First Name

Last Name

Preferred Phone*

Email*

Preferred format for mentee to contact you:

Phone Email Both

LinkedIn Profile URL (if applicable)

Gender

Male Female Non-Binary Prefer not to share

Ethnicity

Additional info about your student experience (First Generation, Non-Traditional, Commuter, Athlete, Student Activities, Resident Assistant, etc.)

Major/Concentration/Minor/Area of Study

Other degrees received and years/universities attended?

Career Information

Career Stage (select all that apply)

Entry-level Mid-level Senior executive/C-Suite Transitioning/In between jobs Student in a Masters or Professional program

Current Employer

Job Title

Industry

Area(s) of Expertise

On a scale of 1 to 5, rate your feelings about mentoring a student.

(1) I feel nervous about mentoring a student -- (5) I feel confident about mentoring a student

What are the topics, tools, or resources that would help you be an effective mentor?

What motivated you to participate in the Alumni Mentorship Program?

I believe the most important thing I can offer my mentee is...

How did you learn about the Alumni Mentorship Program?

Email Website Social Media

Other: