Mentee Information Form

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Full Name: *

Preferred first name:

What type of library are you employed at? *

K-12 library

Academic library

Public library

None, I'm a graduate student

Institution: *

Job Title: *

Number of years in current position: *

Street Address: *

City: *

State: *

Zip Code: *

Preferred Phone Number: *

Preferred Email Address: *

Gender: *

What accrediting agency(ies) is you institution under? *

ABHE

ATS

HLC (Higher Learning Commission)

Middle States

New England

Northwest

SACS

TRACS

Western

Other:

Required

Number of Students (FTE)? *

Educational programs you currently serve (check all that apply) *

Undergraduate

Graduate

Seminary

K-12

Public

Other

Required

Are you a Solo Librarian? *

Position(s) you currently hold: *

Acquisitions

Archives

Cataloging

Circulation

Director

Electronic Resources

ILL

Information Literacy

Media Center

Reference

Serials

Systems

Other:

Required

Why would you like to have a mentor? What are your goals for this relationship? *

Would you prefer to be paired with a mentor of the same sex? *

Yes

I have no preference.

What are some of your hobbies or interests? *

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