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Mentor Profile Application form
       
 
*This information will be retained by the RCOB and will not be made available to anyone without your express approval.
 
       
 
*Name
  
       
 
*Organization/Company Name:
  
       
 
*Title / Position
 
       
 
*Company Address
 
       
 
*Phone
 
       
 
Fax
 
       
 
*Email
  
       
 
*Company Website
  
       
 
*Brief description of job functions
 
       
 
*Previous Experience
 
       
 
*I am willing to do the following for Richards College of Business students: (check all that apply)
   
       
 

e-mail

  
 

Phone

 
 

In-Person

 
 
Internship
  
 
Shadow
  
 
Lunch
  
 
Host a visit / tour (for one person)
 
 
Host a group visit / tour
 
 
Speak to a class
Topic  
 
Provide a photo for the website
 
 
Other
  
       
       
 
*I understand the Terms and Conditions  
       
       
  *Required Fields  
       
 
 
       
E-Mail | Phone: (678) 839-6467 | Fax: (678) 839-5040