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Seaosd Mentee Application
Seaosd Mentee Application
Mentee Information
Full Name:
Last
First
Address:
Street Address
Apartment/Unit #
City
State
Phone:
Email:
Education
Institution:
From:
City/State:
To:
Institution:
From:
To:
ZIP Code
Work Experience
Have you had any work experience
related to engineering:
YES
NO
If yes, where:
Schedule
Please select your availability: (select all that apply)
Monday
Morning
Afternoon
Tuesday
Wednesday
Thursday
Friday
Note: Specific date and time will be coordinated between mentor and mentee
Comments: