Name: Date:
Position/Title: Grade:
Office Address: Telephone:
E-Mail:
Department:
Supervisor's Name: Supervisor's E-Mail:
Supervisor's Address:
Semester Preference: Fall Spring
What interests you in this mentoring program?
What skills do you think that you bring to this mentoring program?
What are your future career goals and how do you see this mentoring experience enhancing these goals?
What are you hoping to gain from this mentoring program?
In addition to submitting your responses to the questions above, please be sure to request the required letters of reference/support from your department or program head, Administrative Assistant, and direct supervisor, if applicable. A resume should also be attached electronically.
Applications submitted without this information will not be considered.
Resume and letters of reference/support should be e-mailed to:
Mona Muzzio (rvm7@psu.edu) College of the Liberal Arts Human Resources Office
NO LATER THAN DECEMBER 7, 2007.
**This program does not guarantee that the applicant will be promoted, but will better qualify him/her for an Administrative Assistant position.
College of the Liberal Arts