WACM Mentor/Mentee Application 2021-2022
Please fill out this quick form if you would like to participate in our Mentor Program at UW-Madison!

This application is currently accepting mentoring positions only.

If you are a graduate student or undergraduate junior/senior, you can mentor women in computing-related fields. Whether you are a first-time or a returning mentor, we are so excited to have you on board! We encourage undergraduate juniors and seniors to consider being mentors.

We will have a mentoring kickoff in the following weeks (more details to come).
Full Name *
Phone Number (xxx-xxx-xxxx) *
Role *
Degree Enrolled *
Year in School *
Major(s)/Certificate(s) *
Required
Previously taken classes (please include course code and number, or title)
Areas of Interest (Mentees)/Expertise (Mentors) *
Required
What are Your Plans for the Future? *
Required
Preferred Method of Contact
Additional Questions/Comments
A copy of your responses will be emailed to the address you provided.
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