Mentee Application Form

To request an IAEE mentor, you must be an IAEE member in good standing. Please take a moment and complete the application below. You will be contacted as soon as a mentor is available. If you have questions or concerns, please contact Lisa Buchanan.

* Required Fields

First Name*

Last Name*

Your Email*

Are you a student?

University

Major

Expected graduation date:

Company

Title

Years in the Industry

Year Born (yyyy)

Primary Address

Primary Phone Number

Alternate Phone Number

How would you prefer to communicate with your mentor? (Ctrl click to select multiple)

Any additional details regarding your communication preference:

Educational background (degrees, majors, student activities):

1. What are your areas of interest:

2. How did you learn about the mentor program?

3. What do you hope to gain from this experience?

4. Do you have one to two hours a month to devote to the program?

5. Who is your role model? Please give a brief description of who they are and how they inspire you.

6. In what ways do you think a mentor could help you? (Ctrl click to select multiple)

If you selected other in the previous question, what additional way(s) do you feel a mentor could help you:

Other comments or questions?