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Mentorship sign-up form
Thank you for your interest in our mentoring program! Please fill out the form below. Our mentorship committee will contact you soon with further details.
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* Indicates required question
I am interested in being a mentor to a scholarship recipient.
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No
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I am a past scholarship recipient interested in being mentored.
Yes
No
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Full Name
*
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Email Address
*
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Phone
*
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Business Title or Major/Area of Study
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Company or School
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Years in in position or school
*
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If signing up to be a Mentee email Venetia Petteway
vpettewa@kettering.edu
If signing up to be a Mentor email bio to Deborah Irvin at
dirvin@dctechstaffing.com
Your answer
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