College of Agricultural Sciences Alumni Society Mentoring Program

MENTOR ENROLLMENT APPLICATION
The College of Agricultural Sciences Alumni Society Mentoring Program connects Ag students and alumni by matching students with professionals in their field(s) of interest who can offer advice and information about career options or other issues relevant to particular fields.

Participation:	I will participate in the mentoring program. I cannot participate in the mentoring program at this time, but keep me in mind for next year.
Kick-Off Event:	Yes, if matched with a student, I will attend the Thursday,       October 23, 2006 Kick-Off event on the University Park campus.
Name:
Class Year & Major:
Alumni Society Member:	Yes No
Title:
Business Name & Address:
Phone:
Email:
Home Address:
Home Phone:
Please provide a history of your career and professional interests. The more information you provide, the better we are able to make the best match.

Please submit this form by Friday, August 25, 2006.
Questions? Call Jillian at 814-863-7278 or e-mail jstevenson@psu.edu