| First
Name * |
| Last Name * |
| Company Name * |
| Job Title * |
Describe Employment Duties and Responsibilities *
|
| Address * |
|
| City * |
|
| State * |
|
| Zip * |
|
E-Mail Address checked most often * |
Phone Number * |
Describe your Career History *
|
Describe your Educational Background *
|
Career Fields/Majors(s) you are interested in mentoring (Select all
that apply) *
|
| Would
you be willing to mentor more than one student: *
Yes
No |
Special Preferences:
|
|
By
clicking the submit button, I agree that I am volunteering to become a
mentor for a St. Cloud Technical College student(s). I
understand that my name and contact information will be shared with the
student(s) I will mentor.
You
also
agree to completely release St. Cloud Technical College and the SCTC
Foundation, and each of its respective affiliates, directors, officers,
employees and agents from all claims, judgments, demands, liabilities,
and actions that you may have arising out of, or in any way relating
to, your participation in the Cyclone Mentor Connection
program. IN NO EVENT WILL ST. CLOUD TECHNICAL COLLEGE AND THE
SCTC FOUNDATION BE LIABLE TO YOU FOR ANY DAMAGES ARISING OUT OF YOUR
PARTICIPATION IN THE CYCLONE MENTOR CONNECTION PROGRAM.
|
