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MACAC Mentor/Mentee Registration Form
We are so glad that you are interested in growing as a professional and helping another person
grow as a member of the MACAC Mentor/Mentee program. Please fill out the form below; we will share this information with your mentor or mentee once you are matched. If you have any questions, please contact Amanda Blanchette at ajillhar@umich.edu or Lauren Flanagan at ldflanag@mtu.edu. The Professional Development Committee will match you with a Mentor/Mentee as soon as we have a pairing.
First name:
Last name:
Email:
Phone Number:
Institution
Title
Years in College Counseling:
Years in Admissions:
If you have a travel territory, list your counties or regions. If you recruit regionally, please list where you reside.
I would like to serve as a...
Please share the main goal you are hoping to achieve from the Mentor/Mentee relationship.
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