Stuyvesant Alumni Mentoring Program
Mentor Applications
Name *
Gender *
Email *
Phone Number *
Address
Stuyvesant Graduation Year *
College/University/Grad School *
Degrees/Majors
Current Employer *
Industry *
Profession *
Preferred time slot for Mentoring Meetings *
Select all that apply
Required
Top 3 interests/hobbies *
This can be anything whether it's your favorite movie or sports team. We just want to get a sense of who you are outside of your professional interests so that we can better match you with your mentee
Please list any Professional or Community Organizations you are involved with: *
How did you find out about the program? *
Have you ever been charged or convicted of any felony in this state or elsewhere? *
If matched, will you be able to meet the time commitment of attending four to five guided sessions with a mentee per semester? *
Before submitting the application, please check the box below certifying that *
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