Richards College of Business Mentor Program

Home Mentor Application Mentee Application Login to My Account

This application requires JavaScript enabled. Please enable JavaScript in your browser.

Mentor Profile Application Form

This information will be retained by the RCOB and will not be made available to anyone without your express approval.

An asterisk (*) indicates a required field.

2. Tell us about yourself...

* First Name:	Middle Name:	* Last Name:
* Title/Position:	* Organization/Company:
* Industry:
*Brief description of job functions:
* Previous Experience
Organization/Company Address:
* Street:	* City:	* State:
* Zip Code:	Fax:	Website: ex. http://www.westga.edu
Personal Address:
* Street:	* City:	* State:
* Zip Code:	* Day Phone:	Evening Phone:
Cell/Mobile Phone:	* Preferred Email:	Other email:
* Use this address to contact me:	Organization/Company Personal

3. *I am willing to do the following for Richards College of Business students
(check all that apply):

*1. Preferred method(s) of contact you will use with your student(s)	2. Other activities you would be willing to do for RCOB students	*3. Student majors you would be most interested in mentoring (check all that apply):
Email Phone In-person Internship Shadow Lunch Host a group visit/tour Host a visit/tour (for one person)	Recruit on Campus Sponsor Reception Sponsor Breakfast Sponsor Lunch Sponsor Dinner Speak to a class about:	Accounting Business Education Economics Finance International Management Marketing Management Inf. Systems Real Estate Any Business Major
	Other:
	Provide a photo for the website:

4. Submit your application

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

* Email (Username): ex. yourname@company.com	* Password: (at least 8 characters)	* Re-type Password: (at least 8 characters)

Mentor Profile Application Form

Organization/Company Address:

Personal Address: