Energy Pathways Mentor Application Form
ABOUT YOU
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Email *
First Name *
Last Name *
Phone Number (xxx-xxx-xxxx) *
Graduation Year *
Faculty and Institution *
Area of Energy Expertise *
(Max. 150 words)
Brief Bio *
(Max. 250 words)
Link to LinkedIn page
What city are you based in? *
Privacy Note
The personal information requested on this form is collected under the authority of Section 33(c) of the Alberta Freedom of Information and Protection of Privacy Act and will be protected under Part 2 of that Act. It will be used for the purpose of alumni engagement and philanthropic activities, including but not limited to matching alumni mentors and mentees. Questions concerning the collection, use or disclosure of this information should be directed to the FOIP Liaison Officer, Office of the Vice-President (Research and Innovation), University of Alberta, 2.51 South Academic Building, Edmonton, AB (780) 492-6378.
A copy of your responses will be emailed to the address you provided.
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