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IUP Mentee Intake Form

Hello! Welcome! I’m excited to meet you and work together throughout the semester. This short form will help me learn a little about your background, interests, career goals, and what you hope to gain from our mentoring relationship before our first meeting. That way, we can spend more of our time together having meaningful conversations about your goals, professional development, and the areas where I can be most helpful. I’m looking forward to getting to know you and supporting you along the way.

About You

First Name

Last Name

IUP Email

LinkedIn Profile URL

Academics & Interests

Academic Major(s)

Academic Minor(s)

Expected Graduation Year

Campus Involvement

Career Field Interests

Experience & Goals

Current or Previous Work / Internship Experience

What are you hoping to get out of our mentoring relationship?

Are there any specific goals you would like us to work on together?

Is there anything else you'd like me to know before our first meeting?