Student Interest Form

Mark your calendar! The Kick-off Reception for this program will begin Thursday, September 22, 2011 at 5:30 p.m. in the William L. Ridgway University Center, Eykamp 253. More information will follow.

Student - Alumni mentoring partners will be assigned by the Offices of Alumni Relations and Career Services of the University of Evansville, based upon the best achievable match between the student and available mentors.

Questions? Contact Alumni & Parent Relations 812-488-2586 or email alumni@evansville.edu.

Personal Information
Name * First Last
E-mail *
Example: user@domain.com
During this program, what is your on-campus address?
On Campus Address *
On Campus Phone *
Cell Phone
During this program, what is your home/permanent address? (i.e. between semesters)
Home Address *
Home Phone *
Do you consider yourself a:
Check one that best applies or enter other *
Traditional Student - (Full-time, no formal work experience in your field, started college soon after graduating from high school.) Working Student - (Supporting self/family and attending classes part- or full-time.)
Other (please describe)
Academic Plans
Major Area of Study *
Career interests, goals and/or plans
Category of Interest
Check one that best applies or enter other *
Business - (Accounting, finance, marketing, small business, other general business categories, etc.) Community Service - (Hospital, educational, governmental, nonprofit, etc.) Professional Service - (Medical, legal, technical, etc.)
Other Category
Additional Information
Please submit a one- or two-paragraph statement about why you want to participate. What do you hope to gain from this experience? What are your goals and objectives? *
I am prepared to invest, at least, one hour per month in this program? * Yes No

Mentoring Program

University of Evansville

Student Interest Form

Personal Information

Do you consider yourself a:

Academic Plans

Category of Interest

Additional Information