LAUC-SD Mentoring Committee Mentor Application

Librarians Association of the University of California - San Diego

Mentor Application Form

Thank you for your interest. Please complete this form.
It will be emailed to LAUC-SD_Mentor_Committee at ucsd.edu.
Fields marked with an asterisk (*) are required.

* Name:	Phone:
Position/Department:	* Email:

Years at UCSD	Years in current position	Years in library profession

* 1. Please describe your work experience in the information field (or send a resume).

1a. Attach a resume to be sent here (optional).

2. Type of institution(s) you have had experience in (check all that apply).

Academic	Corporate	Law	Medical
Public	School	Special	Other

If other, please specify.

* 3. Have you had experience in a mentoring relationship as either a Mentor or Mentee? If so, when and where?

4. Is there any additional information that might help us match you successfully with a mentee?

All information on this form will be treated confidentially and it will not
be shared with anyone outside the commitee.

Last updated April 2008.

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