ESM Mentor Sign up
If you are interested in participating in the ESM mentoring program as a mentor please complete the following form
First Name *
Your answer
Last Name *
Your answer
Location(City, State) may list multiple locations if applicable *
Your answer
Phone number *
Your answer
Email Address *
Your answer
Education (Degree Type Degree,University,Year) eg. (B.S. Mechanical Engineering, Cornell, 1996; M.S. Engineering Science and Mechanics, Penn State, 1998; Ph.D Engineering Science and Mechanics, Penn State, 2004) *
Your answer
Company *
Your answer
Curent job title *
Your answer
Current job duties or if retired, job duties while working *
Your answer
Career Fields you feel comfortable mentoring *
Required
How many students are you interested in mentoring at one time?-please also indicate if you need to mentor a US citizen due to a security clearance *
Your answer
Please indicate the non-technical areas you are comfortable providing guidance *
Required
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