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Alumni Mentorship Program
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
Mentor Questions
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:
Other Value
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