JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
PCCW Mentoring Program - Grad Student Signup 2022-2023
Please complete the following survey in order to be paired with an alumna from the President's Council of Cornell Women.
Your responses will help us match you with a mentor. The more we know about you, the better we can match you!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Please list your preferred email address for contact:
*
Your answer
Graduation Year, Major(s)
and Minor(s)
*
Your answer
What are you looking for in a mentor? What areas do you want to discuss with your mentor?
*
Your answer
Please select which type of Mentoring Format works best for you
*
1:1 Mentoring (i.e. you and your mentor 1 on 1)
Small group mentoring Circles (i.e. a small group of mentees plus mentor)
Both 1:1 and Mentoring Circles
Required
Please describe your current participation in on-campus or other organizations. (If applicable)
Your answer
What are your short-term professional goals? (e.g., Academia, work in a particular industry, or unsure)
*
Your answer
What other interests do you have? What do you like to do for fun?
*
Your answer
Do you have a preference for a mentor from a specific identity group(s)? If so, we will do our best to accommodate.
Your answer
Where is your hometown? Where do you want to live in the future?
*
Your answer
Is there anything else not already mentioned that you would like to share?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms