Historically Underutilized Business (HUB) Operations Department
Mentor Application for Enrollment in Mentor-Protégé Program
Please confirm that your company meets the minimum requirements outlined below:
 Is a current or recent (within the past two years) prime contractor with the University of Houston
 Agree to sign a written agreement to discuss business practices with the protégé
 Is in “good standing” with the State of Texas
 Satisfactory performance on current or former UH contracts, if applicable
Signature__________________________________________ Date: ___________________
Applicant Mentor Business Name:
__________________________________________
Mailing Address:
Telephone Number:
E-mail:
Fax Number:
Website:
Owner(s):
State your reasons for wanting to participate in the Mentor Protégé Program.
List current or previous contracts your company has had with the University of Houston within the last two
years:
Contract Description
Amount of Contract
UH Contact Person
Submission of this application enables your firm to be considered for University of Houston’s
Mentor- Protégé program. It is not a guarantee of selection. Send via fax to 713-743-5672 or via
email with Subject Line- Mentor- Protégé Application to mpthornton@uh.edu
DO NOT WRITE BELOW THIS LINE
Date reviewed:
Comments:
Reviewed by: