Mentor Selection Form - Graduate 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
Cell/Home Phone
Your answer
Work Phone
Your answer
Student Status
Degree *
Anticipated Date of Graduation (quarter/year):
Your answer
# of years of full-time work experience
Your answer
Current job title and company (if working)
Your answer
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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