ISSA KC Mentee Enrollment Form
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Email *
Mentee Name
Mentee email Address
How do you prefer to meet your Mentor?
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Contact Phone number
Best time to call you?
Current Job
Offices desired in chapter
Security Domain Interests: Select areas you would like to learn more about
Work/Internship/Volunteer Experience
Why do you want to participate in the Mentor Program?
Year in School:
Expected Graduation Date:
ISSA Code of Ethics
I will adhere to ISSA’s Code of Ethics and Standards of Professional Conduct, Submission of this application is your agreement to comply.

The Kansas City Chapter of ISSA is not responsible for the accuracy of content provided by mentors. The information is provided for educational purposes only. It is intended to help you learn and gain skills to further your career and to provide professionals an opportunity to share their knowledge and skills with others who are seeking to expand theirs in a specific of study.  This program does not provide any guarantees for job placement or advancements in your career.  It is not intended to certify you for a specific skill or area of knowledge.  It should not be used in place of professional study or certification.  The statements made by mentors are their opinions and have not been proven or evaluated by ISSA.  ISSA assumes no responsibility for the use or misuse of materials and information you receive from your mentor.  

A copy of your responses will be emailed to the address you provided.
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