Mentor Selection Form - Undergraduate Senior Students
Thank you for your interest in participating in the Albers Mentor Program. Please complete the following information in order to officially join the program and be matched with a mentor.

Please direct questions to the Albers Placement Center at 206-296-2472 or apc@seattleu.edu.
Email address *
Full Name (as listed in SU system) *
Your answer
Preferred Name
Your answer
City
Your answer
SU Email Address *
Your answer
Phone
Your answer
Major (select all that apply) *
Required
Anticipated Date of Graduation (quarter/year):
Your answer
Albers Undergraduate Leadership Program past participant?
List your career or industry interests *
Your answer
Have you ever attended an Orientation Session about the Mentor Program? *
Did you attend this year's Mentor Fair?
Best time(s) of day to meet (check all that apply)
Best location(s) to meet (check all that apply)
What are your objectives/goals for the mentor program? *
Your answer
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