MILE Mentor Interest Form

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Thank you for your interest in becoming a MILE Mentor! This form will help us create meaningful matches and will enable us to identify the scholars that will benefit the most from your expertise and support. We appreciate your time.

First Name *

Last Name *

Email Address *

Phone number *

Mailing Address *

Preferred Method of Contact *

Phone

Mail

Required

Due to the Covid-19 pandemic, our mentoring has been fully virtual for the past two years. Our college has now fully reopened. Please state your preferred form of mentoring. County guidelines permitting, we will keep your choice in mind and hope to make the best match. (Please mark all the choices you feel comfortable with)

Virtual via Zoom

In-Person

Hybrid (a combination of in-person and virtual)

Required

Occupation & Employer *

Are there any areas of expertise or areas of interest that you would like to share with our scholars through a presentation or in a workshop format?

Submit

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