Sign Up (for the wait list) to Have a Mentor - Michigan IT Mentor Program - Winter/Spring 2018
Thank you for your interest in the Michigan IT Mentor Program! The Michigan IT Mentor Program team will match mentors and mentees based on your professional development goals and shared areas of interest.

Registration for the Winter/Spring 2018 program is closed. If you wish to add your name to the waiting list, please continue.

Email address *
Name *
Your answer
Unit *
Your answer
Your Mentoring Goal(s) *
Please share the professional development goal(s) you would like to focus on with a mentor during this program. You can select from the examples listed below or add your own next to "Other." Please note that we will share your response with your mentor as part of the matching process.
Please provide a brief summary of what you are you looking for in a mentor/mentee relationship. *
Your answer
Mentor Preferences
If you would prefer to work with a specific mentor, please list up to 3 names below. You can see the bios and areas of interest of all the participating mentors at:

Read about the matching process at:

Mentor Preference - 1
Mentor Preference - 2
Mentor Preference - 3
What else would you like the Michigan IT Mentor Program team to take into consideration when matching you with a mentor?
Your answer
Are you available to meet?
Never submit passwords through Google Forms.
This form was created inside of University of Michigan. Report Abuse - Terms of Service - Additional Terms