IS Mentoring Program Mentee Profile Form
Application procedures: Applications are accepted year-round. Matches will be made biannually in summer and midwinter. We will accept applicants for our summer matching until January 30. In order for us to more effectively match you with a mentor who has similar experience and interest, please complete the form below. If you have any questions please email us at
. For more information visit the IS Mentoring Program site at:
How did you hear about the IS Mentoring Program?
Preferred subject area
If you are interested in being mentored in one or more subjects (e.g. art, business), please list them below.
If you are interested in being mentored in one or more positions (e.g. Instruction Coordinator, Distance Education), please list them below.
Other preferred types of mentor
If there are other areas in which you want to be mentored, please check all that apply.
Research & Publication
Short-term Mentor (to provide mentoring on a specific project or question)
Describe your relevant work experience.
What would you like to get out of a mentoring relationship?
What qualities are you looking for in a mentor?
Any additional information you would like to include (hobbies, interests, etc.)
Please choose your preferred communication method.
Yes, I understand that participation in the Instruction Section Mentoring Program is voluntary. I also understand that any advice taken/given is done so in good faith and that no one associated with the Mentoring Program can be held liable.
Comments or questions?
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