Senior Capstone Project Mentor Interest Form

First Name *
Last Name *
Phone Number
Preferred Contact method
Clear selection
Type of business or organization (e.g. non-profit, public service, government, marketing, law) *
Business/Organization name
Briefly Describe Your Role
What might students be doing while working with you?
Special skills that the STUDENT might have, or want to develop, that would make this a particularly good match. (Check all that apply)
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