Contact Information

Name:


Address:


City/State/Zip:


E-Mail:


Phone (Home):


Phone (Cellular):


Preferred Contact Method:


Optional

Commuter:
Yes   No

Non-Traditional Student :
Yes   No

Personal Information

UW-W Planned Graduation Year:


Major:


Areas of Study:


Graduate School Interest:


Career Goals:



Application Information

The Alumni Mentoring Program is not intended to facilitate job placement opportunities. As a voluntary program, the University relies on the information provided by the participants themselves and makes no other representations concerning the participants. Further, while the University assists in matching students with mentors, once the match is identified the University is not responsible for any aspect of the mentor-protégé relationship, including the pursuit or continuance thereof. This program does not discriminate on the basis of race, color, c reed, religion, sex, national origin, disability, ancestry, age, sexual orientation, pregnancy, marital status, or parental status.