Alumni Mentor Application

If you have any questions regarding this application form or the Mentor Program, please contact Sorrel Geddes at sgeddes@chapman.edu or 714-997-6795.

Alumni Contact Information

* First Name

* Last Name

* Address

Address Line 2

* City

* State

* Zip Code

* Phone Number

* Email Address

* How would you prefer to be contacted by your mentee? (Please select all that apply.)

Email

Phone

In Person

Skype

* Briefly describe why you would like to become a mentor.

* Have you ever participated in any other type of mentoring program?

Yes

No

If yes, please elaborate.

* How many students would you be willing to mentor?

One

Two

Three

* Your Degree(s):

* Please describe your role and responsibilities within your current position.

* Please list any profesional fields related to your current position or background:

* Describe the activities, interests and/or hobbies that are most meaningful to you:

List any Chapman University affiliations:

0/255 characters

Please attach a recent resume to assist in the pairing process.

* Indicates Response Required