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Mentor Registration
First Name:
Last Name:
Gender:
Male
Female
Email:
Home Phone:
Organization:
Position:
Profession:
Work Address:
Work Phone:
Work Fax:
Prefered Contact Method:
Telephone (H)
Telephone (W)
Mobile
Email
Fax
Mail
Preferred Contact Time:
Early Morning (6am - 9am)
Late Morning (10am - 12pm)
Evening (1pm - 4pm)
Late Evening (6pm - 9pm)
Company Website:
Alumni Affiliations :
Professional Association Affiliations:
Why did you volunteer:
Activities / exercises which you would provide to the mentee:
Values you will share with the mentee:
Non-professional experiences you will provide:
Would you be able to meet at least bi-monthly:
Yes
No
If no, kindly indicate a realistic/ convenient time frame:
What other Career development services would you be interested in?:
Guest Speaking
Job Shadowing
Information Interviewing
Internships
Career Fairs
Networking Events
Student Short-term Consultancies
Length of participation:
1 year
2 years
3 years
4 years
5 years
indefinitely
To assist with our planning, kindly indicate the length of time you are likely to engage in this program by selecting one of the options above
Additional Information:
Is there another professional who may be interested in engaging in the Mentorship Program? If so, please share their details above or feel free to share our contact information with them.
News & Notices
Give Back Programme Information
Health Insurance Refunds - Direct Credit Form
New Student Orientation 2020
Our services are now online!
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Blackbird Buzz
Parents & Partners and Commencement Invitation
Important Details for Online New Student Orientation
The Campus App
Self-paced Online Orientation: Now Available
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