Cleveland State University

Alumni & Friends

STAT Alumni Mentor Program
Mentee Application

Name*
Expected Grad Year Major
Daytime Phone No. Evening Phone No.
Preferred E-mail*
Preferred Mailing Address
City, State, Zip
 
Best time/place/method (voicemail, email, etc.) to reach you.
Do you authorize Students Today, Alumni Tomorrow (STAT) to release your contact information to a CSU alumni mentor so that he or she can contact you?
YesNo
Would you prefer a female or male mentor, or do you not have a preference?
FemaleMale No Preference
Have you served as a mentee before?
Yes No
If yes, please describe that relationship.
Why are you interested in having a mentor?
What are your current career interests (add any specifics you may have determined)?
What career fields are you not interested in?
Besides your participation in STAT, do you participate in any clubs, activities, or sports at CSU? If so, which ones?
Do you have any specific interests or hobbies that you would like to share with an alumni mentor?
Describe what you hope your life will be like in five years.
Would you like to provide any other information that would assist us in making a good match?
What does being a mentee mean to you? What are your expectations for this program?

Mentee Acknowledgement: By submitting this application you agree to serve as a mentee in the STAT Alumni Mentoring Program for the 2010-11 school year. As a mentee, you shall be responsible for contacting your assigned mentor and agree to meet with your mentor at least 2 times each semester.

engaged learning

    Receive CSU Alumni eNews
Mailing Address
Cleveland State University
2121 Euclid Avenue, MM 212
Cleveland, OH 44115-2214
Campus Location
Mather Mansion, Room 212
2605 Euclid Avenue
Phone: 216.687.2078
alumassoc@csuohio.edu


This site contains files that require the free Adobe Reader to view.