Notre Dame Graduate Business Mentor
Program Student Agreement |
| *=Required Fields |
| First Name: |
* |
| Last Name: |
* |
| Current ND Graduate Business Degree Program: |
* |
| Expected Year of Graduation: |
* (YYYY) |
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| Campus Address: |
* |
Campus Phone Number:
|
* (ZZZ-XXX-YYYY) |
Cell Phone Number:
|
* (ZZZ-XXX-YYYY) |
| Campus E-mail Address: |
* |
| Student ID: |
* |
| Work Authorization: |
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| Enter optional information below if you wish it considered for mentor assignment: |
| Click Here if Permanent address is same as Campus address: |
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| Permanent Home Address: |
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| Address Line 2: |
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| City: |
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| For U.S. Address |
| State: |
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| Zip Code: |
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| For International Address |
| Region/Province |
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| Postal Code: |
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| Country: |
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| Permanent Home Phone Number: |
(ZZZ-XXX-YYYY) |
| Permanent E-mail Address: |
|
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| If campus or permanent address do not apply during your summer time away from campus while you are in this program, please supply: |
| Summer Address: |
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| Address Line 2: |
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| City: |
|
| For U.S. Address |
| State: |
|
| Zip Code: |
|
| For International Address |
| Region/Province |
|
| Postal Code: |
|
| Country: |
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| Phone Number: |
(ZZZ-XXX-YYYY) |
| Summer E-mail Address: |
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| Summer Contact Effective Dates: |
Begin
End
(MM/DD/YYYY) |
| If you are working while in the graduate program, please provide the business name and phone number: |
| Business Name: |
|
Business Phone Number:
|
(ZZZ-XXX-YYYY) |
| Undergraduate Information: |
| Undergraduate School: |
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| Undergraduate Year: |
(YYYY) |
| Undergraduate Degree: |
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| Undergraduate Major: |
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| Career Preferences: |
| Concentration: |
* |
| Primary Industry Preference: |
* |
| If Other, Please Specify: |
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| Secondary Industry Preference: |
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| If Other, Please Specify: |
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| Primary Functional Interest: |
* |
| If Other, Please Specify: |
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| Secondary Functional Interest: |
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| If Other, Please Specify: |
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| Primary City of Choice: |
* |
| Is there a sub area of interest in which you hope to specialize or work? |
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| Are you pursuing a career change? |
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| If so, from what background to what functional area of preference? |
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| Short-term career goal (upon graduation): |
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| Geographic Preferences: |
| Second City of Choice: |
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| Preferred Region of U.S.: |
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| Country Other than U.S.: |
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| What size company do you prefer to work for? |
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| If Other, Please Specify: |
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| What type of company do you prefer to work for? |
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| If Other, Please Specify: |
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| The criterion most important for matching you with a mentor: |
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| The second most important criterion for matching you with a mentor: |
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| Longer-term career goal more than five years after graduation): |
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| Desired Career stage of alumni mentor: |
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| Other information you feel pertinent for this alumni student mentor program: (Course study, prior job experiences, languages you speak) |
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All students must complete the Notre Dame MBA
Mentor Program "Guide for Students" training. |
* |
Upload your resume now, or
e-mail it to gradalum@nd.edu. |
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| © 2007 University of Notre Dame |