Mentorship Form — Michigan Pops Alumni

I WANT TO BE A:

MENTOR

MENTEE

Name

First Name

Last Name

City in which you currently live

Email address

Phone number

(###)

###

####

Graduation (or expected) year

Major(s)

Current profession

Type of mentoring

Professional

Personal

Both

Clubs/organizations you were (or are) a part of at the University of Michigan (besides the Pops!)

Anything else you'd like to add? Hobbies, quirks, causes?

What do you hope to accomplish by being a part of the Pops mentoring program?

If you have a specific mentor/mentee in mind, please list here!

ALL INFORMATION WILL BE KEPT PRIVATE. ONLY THE MENTOR/MENTEE AND MENTORING PROGRAM ORGANIZERS WILL HAVE ACCESS.

POPS MENTORSHIP PROGRAM