Table Wisdom Student Registration
Table Wisdom's mission is to help newer and older Americans thrive anywhere by having valuable conversations.

For further information, please visit us at http://www.table-wisdom.org/ or email: info@tablewisdom.org
Email address *
Please provide your first name *
Your answer
Please provide your last name *
Your answer
Best email address to reach you? *
Your answer
Best phone number to text you (555-555-5555)? *
Your answer
City
Your answer
State or Country Location (if not in the U.S.)
Your answer
Country of Origin *
Your answer
Gender *
How did you hear about us? *
If other, then please provide detail
Your answer
I'm currently enrolled in *
What is your area of study or background? *
Required
What's your Linkedin, Angel List, or Website Profile?
This will help us better understand your background. For example: https://www.linkedin.com/in/williamhgates/
Your answer
What are your goals? *
Be as specific as possible so your mentor can help you better
Required
Your hobbies/interests: *
Please share any information that might be of interest to your mentor (i.e. activities, experiences, projects)
Your answer
Can you meet by video-chat (for example Skype, FaceTime)? *
Some mentors prefer to meet by video conference because of their busy schedule. If you meet in-person, we require that the session is in a public space, such as a coffee shop.
Which Days Can You Meet? *
The more days that you are available, the sooner that we can match you.
Mornings (8 am - 12 pm)
Afternoons (12 pm - 5 pm)
Evenings (5 pm - 9 pm)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Program Choice *
How many mentors would you like to chat with? *
Comments & Questions
Your answer
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