New Mentor Registration & Contact Update Form

Thank you for your interest in becoming a Mentor.

Instructions: Please complete and submit the form to be added to our mentor database. If you are an existing mentor, you can also complete the form to inform us of any updates to your contact information, address, and/or professional background.

Please indicate below your program participation interest. Note that both of these programs match students and mentors for one-time informational interviews. Students and mentors may choose to meet more than once if mutually agreed upon.

Contact Information

Name + Title

Educational & Professional Background

Are you a U of M alumnus?
Please feel free to include other degrees/certifications obtained from other educational institutions.
Depending on the requests we receive from students, we may consider reaching out to a mentor with unique/diverse backgrounds to allow the student to explore other occupational areas that might be of interest.


Do you prefer a certain mode of communication?
Please select which of the following activities you'd be willing or prefer to offer students