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Interest and Involvement Form
Degrees, institutions, graduation years...
Job Description Summary
Please select all that apply:
I am interested in mentoring a student during the 2016-17 academic year.
I am interested in being a WLI 'resource provider'.
I am interested in speaking at a WLI workshop.
I am interested in recommending a friend or colleague to connect with the WLI.
The areas in which I am interested in mentoring a student are:
Sharing My Own Experiences
What type of personality are you most comfortable with?
What do you hope your student will gain from this relationship?
What do you hope you will gain from this relationship?
In matching you with a student, is there anything else we should consider?
Workshop Speaking Information
Please list topic(s) on which you would be willing to speak at a WLI workshop.
Recommend a Friend Information
Please complete as much information as possible about your friend or colleague.
Recommended Involvement / Comments
Leave this field blank