Richards College of Business Mentor Program

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Mentee Profile Application Form

An asterisk (*) indicates a required field.

2. Tell us about yourself (Please Note: All information provided here will be
made available to your assigned mentor)

*Student ID Number: 917XXXXXX
*First Name:	Middle Name:	*Last Name:
Preferred Name:	*Major:	Minor (if applicable):
Classification:	Expected Graduation Semester:	Expected Graduation Year: ex. 20XX
*Job Preference:
*Industry Preference after Graduation:	1:
	2:
	3:
Campus Address:
*Street:	*City:	*State:
*Zip Code:	*Phone:	*MyUWG email:
Other Email:
Permanent Address:
*Street:	*City:	*State:
*Zip Code:
*1.What are your goals for the first three years after graduation?	*2.What do you think your biggest challenges will be during the first three years after graduation?

*3.What do you hope to gain from the RCOB Mentorship Program?	*4.Briefly summarize your previous work experience.

3. *Please Indicate here (check all that apply) the mentoring activities
in which you would like to participate (Note: Activities you indicate may or may
not be available based on your assigned mentor's preferences).

Phone

In-person

Internship

Shadow

Lunch

4. Submit your application

*I have read and understand the Terms and Conditions of the Program

*Email (Username): ex. yourname@my.westga.edu	*Password: (at least 8 characters)	*Re-type Password: (at least 8 characters)

Mentee Profile Application Form

Campus Address:

Permanent Address: