Mentee Enrollment Form

In this section:

Note: Your contact information will not be published outside the chapter.

* indicates a required field.

Reason for Contacting Us*
Select a contact reason
What are you hoping to accomplish?
Check all that apply
- Develop professional networks
- Receive feedback on personal goals and future plans
- Receive career guidance
- Increase my visibility in the technical communication field
- Learn to adapt to changing professional and organizational circumstances
- Develop or enhance skills needed to move my career forward
Why I Want a Mentor (optional)
What special challenge do you face? What experience do you want help with?
Scholastic Status
School Name*
Enrollment Status*
Class*
Anticipated Graduation Year or Year Graduated*
Degree*
Major*
Minor*
Contact Information
Name*
First Last
Email Address*
Enter Email Confirm Email
City of Residence*
State of Residence*
Preferred City or Location to Meet with Mentor*
A public place (library, coffee house, Potomac River waterfront, etc.) or online (Skype, Google Hangout, etc.)
Home Phone
Cell Phone
Work Phone
Preferred Way to Contact You:
Choose a contact method
Best Time to Call
Choose best time to call
STC Membership
STC Member?*
Type of membership
I Am
- Not affiliated with a chapter / community / or SIG
STC Chapter / Community Affiliation
I am a member of the following chapters / communities / SIGs:
Form Finish
Publicity
How did you learn about the mentoring program?
CAPTCHA
Please Check the Box to Prove You Are a Human; Not a Robot Form Spammer.
Phone
This field is for validation purposes and should be left unchanged.