Student Application

Thank you for your interested in the College Engineering Mentorship Program! Complete the student application and the Engineering Center will begin building your unique Mentorship experience.

* Full Name

* Email

* Address

* City

* State

* Zip Code

* Phone Number

* College/University Attending

* Expected Graduation Date Month and Year is most important.

Major or Majors If you have chosen a Major or Majors, please list here.

Other:

* Have you had any previous mentorship, internships, or co-op? If so, please list them below.

* What are you looking to achieve through this mentorship?

* What are a few of your hobbies or interest?

* What time of day are you available? Please choose a time session and days of the week that may work best. This helps your future mentor set a date for the shadowing opportunity.

Morning
Afternoon
Evening

Other:

* What days of the week are you available Please choose a time session and days of the week that may work best. This helps your future mentor set a date for the shadowing opportunity.

Other:

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