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Ole Miss MBA Alumni Mentor Form


= Required
Name :   * 
Email :   * 
Street Address :   * 
City :   * 
State :    * 
Zip Code :   * 
Phone :   * 
Company of Employment :   * 
Industry :   * 
Job Title :   * 
List your degree(s) and the Universities you attended seperated by comma. (ex: Degree1 - University1, Degree2-University2)
 * 
State three goals you would like to meet as a mentor:
 * 
What benefits do you foresee students gaining from the mentor
program?
 * 
List any areas of expertise that will be helpful to us in matching
you with a student:
 * 
Are you able to communicate on a monthly basis with
your student? Yes   No  * 
Are you available to be a mentor from 7/10 to 5/11? Yes No  *