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