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Mentor Information Form
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Full Name:
*
Your answer
Preferred First Name:
Your answer
Institution:
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Your answer
Job Title:
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Your answer
Street Address:
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Your answer
City:
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Your answer
State:
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Your answer
Zip Code:
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Your answer
Preferred Phone Number:
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Your answer
Preferred Email Address:
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Your answer
Gender:
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Choose
Male
Female
What accrediting agency(ies) is you institution under?
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ABHE
ATS
HLC (Higher Learning Commission)
Middle States
New England
Northwest
SACS
TRACS
Western
Other:
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Number of Students (FTE)?
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Your answer
Educational programs you currently serve (check all that apply)
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Undergraduate
Graduate
Seminary
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Are you a Solo Librarian?
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Choose
Yes
No
What areas of the library are you responsible for?
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Your answer
Years of service in current position?
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Your answer
Total years in the library profession?
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Your answer
What integrated library system or cataloging software is used at your institution?
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Your answer
Do you have any other experience or expertise that could be helpful in a mentoring relationship?
*
Your answer
What are some of your hobbies or interests?
*
Your answer
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