CAP Connection Mentor Registration
Mentor Information Form

Items with an * indicate a required field.
First Name *
Last Name *
Company *
E-mail address *
Phone *
Address Line 1 *
Address Line 2
City *
State *
Zip *
Profession *
Other (If Selected Above)
Did you graduate from BSU?  Yes
  No
If not, what school did you attend?
Would you be willing to mentor more than one student?  Yes
  No
What are your personal interests, activities and hobbies?
 
What are the top 3 types of projects you work on?
1st *
2nd
3rd
 
What are the top 3 work duties you spend the most time on?
1st *
2nd
3rd
What are your professional interests?
Please feel free to list any additional information that will help in the matching process.