Contact Information

Name:


Address:


City/State/Zip:


E-Mail:


Phone (Home):


Phone (Business):


Preferred Contact Method:


Optimal

Personal:


Family:


Hobbies:

Personal Information

UW-W Graduation Year:


Major:


Other Degrees (and Years):


Current Occupation:


Industry Expertise:


Current Employer (Years Working):


If retired, indicate expertise while working:


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.