TYAPN Mentee Form

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Name*

First NameLast Name

School*

(Intended) Major*

E-mail*

Phone Number*

Area CodePhone Number

We recently opened up the mentor mentee networking event to students that have not applied to the mentorship. If you are only interested in the networking event then please check "only here for the networing event", this will allow you to skip through the rest of the application designed for those interested in the mentorship. Note: if you decide you want to apply to the mentorship program during the event, you will still get a chance to do that.

Are you only interested in the networking event or also the mentorship program?

Only here for the networking eventAlso for the mentorship program

Briefly describe your intended career path(s).*

List three fields/majors that you wish your mentor could be from or job positions that they hold. *

What do you expect to learn from this mentorship? *

Specific questions that you want answers for, specific skills you want to learn, etc.

Mentor Mentee Kickoff

Meeting with mentors before you are officially paired with one for the following quarters will help you find someone more suited for your needs. This Mentor Mentee Meetup will be the opportunity for you to do so.

This mandatory event will be on 11/3/2018 (Sat.) starting from 2PM to 4:30PM.

Are you a TYAPN member? (You must show your membership card at the door when entering)*

YesNo

Do you want to apply for TYAPN membership? (one-time rate for $5)*

YesNo

Payment Option*

Member (Kickoff + Mentorship Program)$15.00

Non-member (Kickoff + Mentorship Program)$20.00

Kickoff Only$10.00

Buy a TYAPN membership card$5.00

Enter coupon

Total $0.00

Thank you for your time filling out the form.

Please read and consent to TYAPN's Mentor Mentee Program Code of Conduct.

Also note that in order to enroll into the Mentor Mentee Program, attendance to TYAPN's Mentor Mentee Meetup on 11/3/2018 (Sat.) is required. Failure to attend the meetup will forfeit your enrollment and we shall not provide refunds.

Agreement Statement*

I consent to the "code of conduct" of TYAPN's Mentor Mentee Program and will attend the Mentor Mentee Kickoff on 11/3/2018 (Sat.)