Albers Mentor Program 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) *
Preferred Name
City
SU Email Address *
Cell/Home Phone
Work Phone
Student Status
Clear selection
Degree *
Anticipated Date of Graduation (quarter/year):
# of years of full-time work experience
Current job title and company (if working)
List your career or industry interests *
Have you ever attended an Orientation Session about the Mentor Program? *
Did you attend this year's Mentor Fair?
Clear selection
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? *
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