McKendree Mentoring Program Application for Alumni

This form is for qualified McKendree University alumni to apply to be a mentor to a current McKendree student.

    

Demographic Information
 
First Name    Middle Name    Last Name    Suffix
     
Phone   E-mail
 

Home Address
 
City
 
State
 
Zip
 
McKendree Degree
 
Graduation Year
 
Current Employer
 
Current Job Title
 
Brief Career History
 
Community & Professional Involvement?
 
Mentor Students with Different Career Aspirations?
 
Why do you want to be a mentor?
 
What is the best way to reach you?