E-mentor

Thank you for choosing to participate in the CSB E-Mentor program. Participants will be matched based on the following criteria: Personal and career interests, Life experiences, and background. As a mentor, we’d like you to send a minimum of one email per month to your mentee. At the end of each school year the program will conclude. You are not expected to continue communications with your mentee. However, if you do choose to stay in touch with your mentee, it will be up to you. We will no longer send you email reminders and prompts. Ideally, we’d like you to commit for a school year term, but we understand that things come up and you may need to leave the program. If you can agree to these terms, please check the box labeled, “I agree” and complete the remainder of the form.

Agree

Name (First, maiden and/or married)

Class Year

E-Mail Address

Phone Number

What type of medium would you prefer to use to communicate with your mentor?

	Phone
	Texting
	E-mail
	Instant messaging
	Facebook
	Twitter
	Other

In college I was involved in:

	Student clubs or organizations		Research
	Athletics		CSB Senate
	Music/Theater		Residential life (RA)
	Volunteering		Other

I am currently involved in...(list volunteer or other hobbies)

Major and/or minors in college (area of study)

Please mark all that apply

	Lived/Volunteered Abroad after College
	Attended Graduate School
	Participated in a Volunteer Work experience post-graduation
	Studied Abroad during College
	College Internship

Current profession/field and job title

What do you hope to gain out of this relationship with a CSB sophomore student?

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