Mentor Form

Name *

First

Last

Preferred Email *

Cell Phone number *

Graduation Year & University - Feel free to add Masters and Ph.D. *

Are you currently a member of NSBE? *

Employer and Job Title *

Which engineering specialization are you currently working in? *

How many years have you worked in the industry? (Not including a PhD program, if applicable) *

Have you been in a mentorship program before? *

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

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

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

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

What are your hobbies, interests, etc? *

Why would you like to be a mentor? *

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