MISSO Mentor Sign-Ups | Fall 2021
The Mentorship Mixer is on Friday, October 1st, 2021 from 6:00 PM – 8:00 PM

Location: ZOOM Meeting (Link will be provided via email)
**Note: If you are unable to attend the mixer during this date, you can still be a mentor!

Registration Deadline is Friday, September 17th, 2021 at 11:59 PM

If you are interested in participating as a MISSO mentor, we ask that you please fill out the form below and answer all the required fields.

**Note: We cannot guarantee all preferences will be fulfilled.
Email *
First Name *
Last Name *
Primary Email *
Phone Number *
What is your Major? Please include any double majors *
What is your classification? *
Graduation Date? (ex: Fall 2021) *
Age? *
What field are you currently working in? Or what field have you had previous experience with? *
What company do you work for? Or what company have you had previous experience with? *
How many mentees would you like? *
How would you give advice/feedback to your prospective mentee? *
If you were involved in the mentorship program in the past, please list who you had. Please include first and last name. (So I do not repeat mentee pairs) *
How often would you like to meet with your mentee? *
What traits/interests are you looking for in a mentee? (Pick 5) *
What traits do you possess that can benefit your mentees? (Pick 5) *
Any additional information you would like to add about yourself or about your preference for a mentee?
Would you be interested in attending an in-person Alumni x Member social the day after Mentorship Mixer? *
Will you be able to attend mentorship mixer on October 1st, 2021 from 6:00 PM - 8:00 PM on Zoom? (Note: If you are unable to attend, you and your prospective mentee will have to schedule a different time to meet) *
A copy of your responses will be emailed to the address you provided.
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