Mentor Questionairre ~ 5 minutes

This form will help pair you up with an undergraduate who best matches your profile, job status and interests. Please take this seriously as this will impact both your relationship with your undergraduate and how much your undergraduate will gain from the mentoring process.

* Required

Please state your full name. *

What is your graduation year? *

What was your institution of study and chapter? *

Lafayette College, Penn Theta
Other:

What was your degree of study at above institution? * Please include major(s) and/or any minor.

Please state your hometown. * This would be the town with which you hold the most relation too.

What is your current/permenant address? *

What is your preferred email address? *

What is your preferred phone number? *

What is your current employer? *

What is your current job title or position? *

How many years experience do you have in this field/position? *

Please state any activities that you participate in outside of work? This would include any volunteer activities, charitable programs, sports teams, how you spend your free time, etc.

What are your expectations of this mentoring experience? *

Have you ever mentored in a student mentor program? * If yes, please briefly it below.

What expectations do you have for your mentee? *

How often would you be willing to meet/speak with mentee? * List you availability to participate in this program.

Would you like to provide any other information that may be helpful in the pairing process?

Phi Kappa Psi Penn Theta

Lafayette College

Alumni Mentor Sign up

Mentor Questionairre ~ 5 minutes