Mentor Connection - MENTOR APPLICATION

Applications must be submitted by 4:30 p.m. on Friday, February 5, 2016

Mentor Requirements & Expectations:
• Must be a UCA graduate
• Must have approval by their manager and/or employer
• Must have at least one year of experience in the specific field they wish to mentor
• Attend the Connection Kick-Off Event, scheduled for TBA, where you will meet your mentee.
• Communicate with your mentee at least once every two weeks.
• Participate in one face to face activity during the seven week mentorship.

* The Mentor Connection is available to 40 Young Alumni.
* Mentors and Mentees will be notified in December if selected.

Name * Title First Last Suffix
Maiden Name
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone * - (###) - ### ####
Email *
Birthday *
Class Year
Degree Major / Minor *
Job Title or Career Field *
Employer *
Supervisor Name (A recognition letter will mailed to your supervisor at the end of the program) Title First Last Suffix
Employer Address
Hobbies that interest you: (i.e. Photography, Non-Profit, Graphic Design, Sports, Event Coordination, Wildlife/Fisheries, Art)
What activities were you involved in when you were a student at UCA?
What activities are you involved with in your community, work and personal life? (i.e. Big Brother Big Sister, Special Olympics, Choir)
Do you want to be partnered with a Mentee based on your career field or hobby?

Career Field Hobby / Special Interest Either
Do you have a gender preference to be paired with: Female Male No Preference
Questions/ Comments