Become a Mentor | Anteater Mentoring in Physical Sciences

Your professional profile, which will be published online, will not include your contact information. Your student(s) will be sent your preferred contact information after they have chosen you as a mentor.

Note: the more students know about you, the better the potential match with your student.

If you already have a professional profile online and you simply want us to update your profile and/or contact information, click HERE

First Name *

Last Name *

Title/Position *

Organization/Company *

Email *

Cell Phone

Date of Birth

Linkedin URL (if applicable)

Work Street Address

Work City *

Work State *

Work Zip

Work Phone

Home Street Address *

Home City *

Home State *

Home Zip *

Home Phone *

What is the best way for the program coordinator to get in touch with you? *

E-mail

Cell Phone

Home Phone

Work Phone

Degrees *

Affiliations

Years of work experience

Number of students you are willing to mentor *

Years as a mentor *

Anticipated meeting frequency (I.e. How often can you meet or talk with your mentee -- once per month, once per week, etc.)

Please indicate the career field(s) in which you have experience

Briefly describe your career path and current occupation(s) *

Briefly describe your personal interests *

What type of student do you think you might be most able to assist?

Describe your ideal mentoring relationship *

Are you a remote mentor? (You will be communicating with your mentee via email, phone, or Skype) *

YES

Will you plan to participate in on campus events? *

YES, I will participate in on campus events

NO, I will only be remote.

Please provide any additional information that you would like for us to know in order to pair you up with the best possible mentee match?

Since you are a remote mentor, our office will pair you up with a mentee. We will work very hard to pair you up with a mentee that will be an ideal match based on common career interests and goals. If you would like to provide us with any additional information or direction on what you are looking for in a mentee, please fill out the information below. The more information we have from you, the more it will help us when we are pairing you up.

Picture (Optional)

Disclaimer: this photo will be used on your profile page
Files must be less than 2 MB.
Allowed file types: jpg jpeg png.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.