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T&D Mentee Request Form

Please complete this form to assist us in connecting you with a student mentee. This information will assist us in matching you with student mentees based on your expertise, availability, and preferences, ensuring a productive and beneficial mentoring relationship for both parties.

Name
Agreement to Program Terms (Link to agreement and initial): Consent to participate in the mentoring program and abide by its guidelines and expectations. Adhering to these rules fosters a positive and productive mentoring relationship, maximizing the benefits for both mentors and mentees.(Required)