Mentor Information Form

Name:

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Institution:

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Job Title:

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Address:

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City:

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State:

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Zip Code:

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Phone:

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Email:

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Gender:

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Number of Students (FTE)?

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Educational programs you currently serve (check all that apply)

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Are you a Solo Librarian?

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What areas of the library are you responsible for?

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Years of service in current position?

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Total years in the library profession?

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What integrated library system or cataloging software is used at your institution?

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Do you have any other experience or expertise that could be helpful in a mentoring relationship?

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What are some of your hobbies or interests?

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