Mentor Signup Form

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Name:*
Contact Email:*
Contact Phone (Optional):
Introduction Statement:
Provide a brief introduction statement of who you are, where you are at now (both professionally and academically) and what your professional and academic goals are for the future.
Mentor Expectations:
What are your expectations of a mentor? What do you hope to learn from your mentor and what are some goals that you would like your mentor to help you with?
Education (Colleges/Universities attended and degrees completed):
If you haven't completed a degree yet or you are pursuing your first degree then provide where you are enrolled and what your current major is.
Professional Background:
Whether you are a student trying to enter into a new profession or an already established professional trying to transition into a different field your past employment can be helpful to your mentor. Please provide past employment and types of positions held.
Professional/Academic Projects:
Provide highlights on special or notable projects you have been a part of or led.
Professional/Academic Certifications:
Provide any professional and academic certifications that you have obtained.
Skills or areas of expertise that you desire to learn or improve:
Provide a list of specific skills and areas of expertise that you desire to learn or improve. This will aid in matching you with a mentor that can provide direction in accomplishing your goals.
Professional/Academic organizations that you are a member of:
Volunteer work and other organizations you are a member of:
Additional Information:
Please provide any other information that you think is relevant and will aid in matching you with a suitable mentor.

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