College of the Liberal Arts

Your Name: Preferred E-Mail:

Address:

City: State: Zip:

Is this Address: Home Business

Employer Name:

Job Title:

Brief Description of Job Duties (eight to ten words):

Company Web Site Address:

Preferred Phone: Check One: Work Home Cell

Alternate Phone: Check One: Work Home Cell

Work/Academic Information

Years of Professional Experience:

Major/Minor/Degree (at PSU) and Graduation Year:

Other Education (Institution/Degree):

Geographic Areas Lived (states/regions/countries):

Campus Activities (while in college):

Summary of types of Jobs held since college:

Current hobbies, professional and vocational affiliations, volunteer activities:

Professional Experience/Interest:

Which career area(s) describe(s) your work experience (first box) and your interests (second box):

Other

Questions:

How did you decide on Penn State?

How did you decide on your major?

What was your first job out of college and how did you find it (e.g., on-campus recruiting, networking, personal job search, etc.)?

What has been your favorite job so far?

What are your strongest attributes as a professional (e.g., organization skills, team motivator, public speaking, personnel management, persuasion, etc.)? How do you add value in your work environment?

What are you hoping to get out of participating in this program?

How did you learn about the mentor program?