Career Mentoring: Mentee

Contact Information

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Type of phone:*

Home
Cell
Work

Additional Phone

Type of Phone:

Home
Cell
Work

Email*

Enter Email Confirm Email

How would you prefer to be contacted by your mentor? (Please select all that apply.)*

Email
Home Phone
Cell Phone
Work Phone
In Person
Skype

Gender

Male
Female

Educational Experience

Degree(s) or Major(s)*

Minor/Emphasis

Intended Graduation Year*

Did you plan to attend a professional/graduate school?*

Yes
No

Which school do you plan to attend?

What is your intended degree?

List any William Penn activities, groups, or organizations (sororities, fraternities, athletics, clubs, etc.) in which you are or have been involved while attending WPU*

List any activities, groups, or organizations (sororities, fraternities, athletics, clubs, etc.) in which you were involved while attending a school BESIDES William Penn

Professional Information

Career field in which you are interested*

Other Career Field*

Location (specific or by region)

Please describe your ideal career role, responsibilities and future plans.*

Describe the activities, interests, volunteer work, and/or hobbies that are most meaningful to you.*

Please list or describe any additional information to assist in the pairing process.

Mentoring Program

Briefly explain why you would like to become a mentee.*

Have you ever participated in any other type of mentoring program?*

Yes
No

Please elaborate.

What are some areas in which you would be comfortable being mentored?

How did you hear about the William Penn Career Mentoring Program?

Comments

This field is for validation purposes and should be left unchanged.

Mentee Application

Contact Information

Educational Experience

Professional Information

Mentoring Program