ALUMNI CONNECT: Mentor Application

advertisement
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
[email protected] If you have questions or need additional details regarding
Alumni Connect, please contact Maggie Rowan at 215.762.8868 or
[email protected]
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
Download