Personal Information |
| * Name: | |
| * E-mail address: | |
| * Street Address: | |
| * City: | |
| * State: | |
| * Zip: | |
| Home Phone: | |
| Relation to Union College: | Alum | Parent | Friend |
| |
Educational Information |
| Undergraduate College: | |
| Degree/Major: | |
| Graduation Year | |
| Graduate/Professional School: | |
| Degree/Major: | |
| Graduation Year: | |
| |
Employment Information |
| Industry | |
| Job Function | |
| Job Title: | |
| Name of Employer: | |
| Employer Street Address | |
| City: | |
| State: | |
| Zip: | |
| Business Phone: | |
| Employer website: | |
| How do you prefer to be contacted? | E-Mail | Home Phone | Home Address |
Business Phone | Business Address |
| Important: Briefly describe your work: | |
| |
Participation |
| As a Mentor, I am willing to assist with the following (check as many as applicable): |
| Employer Information |
| Career Advising |
| Regional Information |
| Job Search Assistance |
| Internship/Summer Job Assistance |
