Engineering Mentor Night, Tuesday 4/09/19 6-8pm

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Please use this form to submit your intent to attend the Engineering Mentor night on Tuesday April 09 from 6-8pm at Olympic College. If you are unable to attend the April event, but still want to be included in future mentoring activities, please fill out the form below.

This form will allow you to edit your responses after you submit. Please submit your information no later than Thursday 4/4/19 to ensure we have sufficient food for you. The event will be held in the new building on campus, #7 the College Instruction Center Theater and Lobby areas. Maps and parking information will be sent by email before the event.

Will you attend the Engineering Mentor Night? *

Yes

Your First Name (feel free to use a preferred name) *

Your Last Name *

What is the best email to contact you and send additional information? *

What is/are your current discipline(s) or if a student, your intended engineering major(s)? *

What is your current employer or the college you currently attend? *

If you are an engineer, approximately how many years have you been working? Please also note if you have retired.

For Engineers: May we print or distribute l a list with your name, employer, discipline and email and/or phone on it? Several students requested this type of information last year, and felt having it in advance would be useful.

Yes, Name, Email, Employer and Dicipline as I provided it in this form.

No, do not include any of these things about me.

Only some information, please type in other box below.

Other:

For Engineers: We will be having a panel discussion, would you like to be a panelist?

YES!!

NO!

Maybe, lets talk.

I want to be a guest speaker for a smaller event on campus.

For Students: What is your approximate grade level and anticipated graduation date?

Freshman or first year at college, anticipated graduation 2022/2023 or beyond

Sophomore or 2nd year at college, anticipated graduation 2021/2022

Junior, anticipated graduation 2020

Senior, anticipated graduation 2019

No idea whatsoever, but would like to meet and create an academic plan.

Other:

For 2-year college Students: What are your intended transfer colleges, mark as many as you like, write in others as needed.

WSU - Bremerton/OC

WSU - Pullman

UW - Seatte

UW - Tacoma

UW - Bothell

Western Washington U

Other:

All: Do you have any suggested topics for a panel discussion or presentation at this or future events? *

All: Are you interested in participating in an ongoing mentoring program? *

Yes

Maybe

Do you have any dietary or other needs that could affect your ability to enjoy this event? We will make reasonable efforts to accommodate them, so please be specific.

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