Mentor Application

Personal Information

First Name*:

Last Name*:

M.I.:

Preferred Email*:

Preferred Phone #:

Gender:

Female

Male

Race/Ethnicity:

Educational Background

Institution:

Degree/Major:

Year Received:

If a UWM Alumnus/Alumna, what campus/business organizations were you involved during your college years? Please list leadership positions if held? (Example: Beta Alpha Psi, President, Year: 2000-2002):

Work Experience

Job Title:

Name of Company:

Length of time with company:

Company Address:

Please enter Street, City, State, Zip

Previous Employers:

Volunteer Experience

Please list previous volunteer experience:

Please email a copy of your resumé to carreno@uwm.edu after this form is completed.

General Mentoring Questions

Have you had any experience with mentoring in the past?:

Yes

No

If yes, please explain:

Have you participated in Lubar’s Multicultural Mentoring Program in the past?:

Yes

No

If yes, how many years have you been a mentor?:

I am interested in mentoring a student majoring in (please check all that apply)*:

Accounting

Finance

Marketing

Human Resource Management

Information Technology Management

Supply Chain & Operations Management

What are some of your interests, hobbies or skills?:

What do you hope to gain from being a mentor?:

Is there anything you would like us to know about you that would further assist us in matching you?:

How did you hear about our program?:

I hereby certify that the above information is true.

Input your name here if you agree to the above statement.*:

University of Wisconsin–Milwaukee

Sheldon B. Lubar School of Business

Mentor Application