Mentee Form

Name *

First

Last

Preferred Non-school Email *

Cell Phone number *

What university do you attend? *

SDSU
UCSD
USD
Community College

What year are you in school? *

What is your major? *

Are you currently a NSBE member? *

Yes
No

Have you been in a mentorship program before? *

Yes
No

Are you able to commit to monthly meetings and attending 2 program events? *

Yes
No

Which part of San Diego County is best for you to meet(if able/comfortable)? Select all that apply. *

North SD (Oceanside, San Marcos, Carlsbad etc.)
Central ( Downtown, SDSU, Mission/Fashion Valley, etc)
East SD (El Cajon, La Mesa, Santee)
South SD (Chula Vista, Imperial Beach , etc.)
Willing to drive anywhere!

Are you comfortable with using or willing to use online conference tools such as Zoom, Google Meet, GoToMeeting, etc.? *

Yes
No

What time is best for you to meet your mentee? Select all that apply. *

Mornings (Before Work)
Afternoon/Lunch Time
After work (5 pm or later)
Weekends

What are your hobbies, interests, etc? *

What soft or technical skills are you interested in receiving mentoring? (presentations, studying habits, networking, conflict resolution, work-life balance, etc.) *

What are you expecting to get out of this mentorship program? What type of activities would you like to see? *

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