Alumni Mentoring Project

    Alumni Mentor Information Form

 

The following form is used for matching purposes only. It will help us pair you with mentees who share similar interests/backgrounds. It will not affect your chance of serving as a mentor. If there is any question that you do not feel comfortable answering, please feel free to leave it blank.

 

1.         Name_________________________________

2.         Home Address___________________________________      Apt.

            Cit________________________         State_____________    Zip Code____________

3.         Phone: Home_________________     Work___________________

4.         E‑mail

5.         What Degree/Major did you obtain?_____________________________________

6.         After you graduated from LaGuardia, did you:

 

(A) Work:‑ Yes________       No________

 

Where:____________________     As what:_____________________________

 

(B) Attend a senior college?

 

Where:____________________     Degree/Major:_________________________

 

7.         Do you speak any language (s) other than English?

 

Yes___________     No_________

 

if "Yes" please list_____________________________________________________

 

8.         What are your hobbies/interests?_________________________________________

9.         Please indicate the type of mentee (s) you prefer:

 

Male______                  Female_______

 

10.        How many students would you like to Mentor?__________________________

 

11.        Any other comments:_____________________________________________________________________________________________________________________________________________________________________________