ALUMNI CONNECT: Mentor Application The CNHP Alumni Network and CNHP Student Senate developed Alumni Connect, a mentoring program, to act as a link between students and alumni to further strengthen our community while promoting growth and development. If interested in participating, please complete this form, scan and return to cnhpalumni@drexel.edu. If you have questions or need additional details regarding Alumni Connect, please contact Maggie Rowan at 215.762.8868 or cnhpalumni@drexel.edu. First Name: Last Name: Title: Phone: E-mail: Employer: Job Title: City: Department: State: Please outline any specialties: Past Employer(s), Job Title(s), Department(s): Formal Education Institution(s): Degree(s) Held: Most Recent Graduation Date: Preferred Method of Communication: Please list any extracurricular activities/organizations, personal interests, or hobbies: Page 1 of 2 Fun Fact: Would you like to get involved with the Alumni Network? yes no Please provide a brief summary of your work experience and current position and what you hope to gain from serving as a mentor. Mentors and Mentees will be matched based on the criteria mentioned above. Page 2 of 2