E-Board Section    •      

College Initiative - Alumni Mentor Application

Please use this form to submit your registration as an alumni mentor.

Personal Information:
First Name
Last Name
City
State
Zip
E-mail
IM
Home Phone #
 
   
 
Profession:
Company Name
Company Position
Work Phone #
    
   
Education:
    Degree
Institution
Area of Study
Bachelor
Master
Doctorate
Other
Profile:  
Please list your activities, hobbies and interests.
What are your short-term and long-term career goals?
Do you have any time or employment constraints that could affect your participation in this program?
If yes, please explain.
Why do you want to be a mentor?
How would you relate your college experience to a protégé?