St. Cloud State University

Mentor Program - Student Registration Form

SCSU ID
Full Name
Local address
City
State
Zip
Phone number
e-mail address checked most often
Major 1
Major 2
Minor 1
Minor 2
Current number of undergrad credits earned
Current GPA
Anticipated graduation date (semester and year)
Statement of career goals
Dream employer and position
What are you looking for in a mentor?
Of the following ways to interact with a mentor, which are you interested in participating in?
	by e-mail by phone Mock interviewing job shadowing
Other
Do you have any preferences of what city your mentor works in? yes no
If yes, please list cities
Is there any other information that you feel would be valuable for us to know about you in order for us to match you with an alumni mentor?