Ask-An-Alumni E-Mentor Enrollment Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The Illinois Psychology Alumni Advisory Board has developed a new e-mentoring program called Ask-An-Alumni.

Description: Students can email questions to psych-ask-an-alumni@illinois.edu. This email account will be monitored by a graduate student (Will Hyland- the Project Manager for the Alumni Board), who will then forward each question to a few alumni who are best suited to answer it. Alumni will receive either a text or email with the student's question, and the alumni will then send their response directly to the student. Contact may be maintained from there if both parties wish to stay in touch.

If you are interested in participating in this e-mentoring program, please fill out the following form. You will receive an email from Will to confirm your enrollment. If you have any questions, please email Will at whyland888@gmail.com.

Name (First and Last):

Preferred email address:

Phone number:

I prefer to be contacted via:

Text message

Clear selection

University of Illinois degree earned and graduation year (e.g. Bachelor's in Psychology and Math, 1984) and other degrees received (Master's in..., PhD in ..., etc.):

Occupation:

I would like to receive questions on the following areas of psychology (check all that apply):

Clinical

Counseling

Neuroscience

Social/Personality

I/O or HR

Cognitive or Attention/Perception

Quantitative

Developmental

Other:

I would like to receive questions regarding the following general topics:

Resumes

Interview tips

Grad school applications

Career prep

Other:

As we receive questions relevant to your area, how often would you be comfortable receiving and answering a student question?

Once per month

Once every two months

Once every three months

More than three months in between

Anytime as needed

Clear selection

Are you interested in receiving further information from the Psychology Alumni Board about events (example: career panels for students) and/or Alumni Board membership?

Yes- events

Yes- board membership

Yes- both

No thank you

Clear selection

By enrolling in the Ask-An-Alumni e-mentoring program, I agree to respond to student questions in a timely manner (within 48-72 hours). If I cannot respond during that time frame, I will acknowledge receipt of the question and let the student know when I will be able to respond.

Yes

Clear selection

Thank you for your interest!

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Saint Mary's College.

Does this form look suspicious? Report

Forms