SSSC Mentoring Program - Mentor Application
This is a form to gather information about you so that we can effectively match you with a student to provide them with a productive and fun network. Thank you for agreeing to serve as a mentor in this program! If you have any questions, please contact Zach at
First Name *
Last Name *
Phone Number *
Email (Personal or Work) *
Major *
Company *
Preferred Form of Communication (Select as Many as Applicable) *
Would a student be able to shadow you at your company? *
Would you be comfortable mentoring multiple students? *
Would like to mentor a younger or older student? *
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This form was created inside of Speed School Student Council. Report Abuse