PERSONAL INFORMATION
Salutation: (ex. Ms.,
Mr., Dr., etc.)
*Your First Name :
*Your Last Name :
Home Phone Number:
Cell Phone
Number:
*Email Address :
(this will serve as your username)
What would you like for a
password ? (if you are not comfortable putting a password on the
internet, please leave this field blank)
Home Address :
(Street, PO, etc. and city, state, zip)
Are you a Parent Mentor ?
(you are the parent of a SU student/alum who did not
graduate from SU )
No
Yes
ACADEMIC INFORMATION:
Undergraduate
College/University
Graduation Date :
Degree/Major :
Minor :
Track or
Concentration
Clubs/Activities/Organizations -On-Campus:
Graduate or Masters
Degree : (School name, degree, city and state)
Graduation Date
of
Masters :
Doctorate or Professional
Degree: (School name, degree, city and state)
PROFESSIONAL INFORMATION:
Current Status :
Employed
Transitioning
Graduate Student
Homemaker
Retired
*Employer Name :
(place "NA" if not working)
Employer
Description :
*Your Job Title :
(place "NA" if not working)
Your Job Description :
Industry Type : (Ex.
Health, Education, Manufacturing, Accounting, etc.)
Your
Job Function : (ex.
Accountant, Administrator, CEO, Advertisement, Computer Design,
Counseling, Travel Consultant, Human Resources, etc.)
What you like most
about your job?
What you like least
about your job?
Work Address :
Work Phone Number :
Company
Web Site :
MENTORING INFORMATION:
Type of Guidance Willing
to Provide: (To make multiple selections hold down
the Ctrl key and click)
Career Advising
Employer Information
Information Interview
Internship Information
Job Search Assistance
PracticeMock Interview
Relocation Information
Resume Review
Shadowing
Preferred
Contact Method :
Email
Home Address
Home Phone
Work Address
Work Phone
Maximum
Students You Would
Like to Hear From in One Month:
Would Like to Volunteer
to: (To make multiple selections hold down
the Ctrl key and click)
Assist in Developing Hiring Relationships
Assist with Mock Interviews
Attend Job Fairs
Conduct On-Campus Recruiting
Conduct Workshops
Host a Student at My Work Site
Participate in Career Panel Discussions
Participate in Resume Review Workshops
Particpate in Other Workshops
Speak to Classes
Speak to Student Groups
SKYPE Interviews
Career
Advice for
Students:
Comments: