SoCal Cyber Cup Mentor Registration                   (Closes April 15th, 2022)
Thank you for your interest in being a Mentor for the upcoming SoCal Cyber Cup!  Please complete the below registration information. If you have any questions, feel free to e-mail  (Chris Simpson - Academic Program Director, MS Cybersecurity at National University or (Joseph Allen - Director of Community College Pathways at National University

Requirements to be a Mentor:
  - Ability to work with high school and middle school students
  - Interest in the field of cybersecurity
  - Availability to support and be responsive to your team/mentee
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Please select the role you'd like to register for. *
If "Topic Mentor" above, what specific topics would you like to mentor?
First Name *
Last Name *
E-mail Address *
(Confirm E-mail Address) *
Zip Code
Telephone number *
What city do you live in? *
Desired School to Mentor (If known)
Are you 18 years of age or older? *
How did you hear about mentoring for the SoCal Cyber cup? *
Are you a Student or Cybersecurity Professional? Please enter your school or place of employment below. *
Have you previously (Participated) in a cyber competition: *
Have you previously (Mentored a team) in a cyber competition: *
Please explain why you are interested in this opportunity (max 100 words) *
T-shirt size (Adult sizes XS-XXXL) *
Who is your current employer? (to help thank the supporting organizations - not shared externally)
 I certify that all the information included in this submission is accurate and true  to the best of my knowledge. I will comply with all school district requirements for working with students. I also acknowledged and understand  that in order to be eligible for the $250 stipend opportunity I will submit all required documentation by the expressed deadlines.                                                                                                                                           Privacy Statement: I understand that if I am submitting my personal data from outside of the United States, I am consenting to the transfer of my personal data to, and its storage in, the United States, and I understand that my personal data will be subject to processing in accordance with U.S. laws, unless stated otherwise in our privacy policy. Please review our privacy policy for more details at  or contact us at                                                 *
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