Honors Alumni Mentoring Application Form

Personal

First name:

Preferred first name:

Last name:

Maiden name:

Home address:

City:

State

Zip Code

Preferred phone

Preferred e-mail

Gender

Ethnicity

Education

Class year

College/Degree(s)

Major(s)

UD Clubs/Activities

Did you attend graduate school?

If yes, please list graduate institution, graduation year, major, and degrees eanred:

Employment

Current Career Field

Years of Experience

Current Employer

Current Job Title

Past Career Fields

Matching Preferences

College/Major

Career Interest

Gender

Ethnicity

Other (please specify)

Match me where I am needed most (Yes/No)

Additional Information

Topics you feel comfortable advising about (non-exclusive)

Current hobbies and interests that are most meaningful to you

Additional Career Information

Why do you want to mentor an Honors undergraduate?

Additional Comments

Please send a current resume or CV.

Agreement

I am committed to becoming an Honors Alumni Mentor to an Honors undergraduate at the University of Delaware for a full academic year (October through May) and agree to communicate with my mentee at least once a month during this time period. I will complete the Mentoring Agreement with my mentee and submit the 2 assessments at the mid-point and end of the program.

Initials/Date

Honors Alumni Mentoring Program

Contact Information:
Phone: 302-831-1195
E-mail: honorsmentors@udel.edu

Program Coordinators:
Christine Yang Schultz
Associate Director,
'00 MEd '06EdD
Phone: 302-831-1195

Kelsey Cummings
Administrative Assistant
Honors Alum '09
Phone: 302-831-1195

  • Honors Program  •   186 South College Avenue  •   Newark, DE 19716  •   USA
    Phone: (302) 831-1195  •   Fax: (302) 831-4194  •   © 2010