Mentor and Mentee Interest Form
Thank you for your interest in participating in the Milgard Women's Initiative Mentoring Program, either as a mentor or mentee.

Please fill out the form below and you will be contacted when the registration opens.

Feel free to email us at clsr@uw.edu if you have any questions.
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First Name *
Last Name *
Preferred Email *
Preferred Phone Number
Are you an interested mentor or mentee? *
If you are interested in being a mentee, which Milgard program are you in?
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If you are a student, what is your student number?
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