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 MENTOR PROGRAM
BGSU DEPARTMENT OF JOURNALISM ALUMNI MENTORING
 
NAME
TITLE
ORGANIZATION
ADDRESS
CITY STATE ZIP
OFFICE PHONE CELL PHONE (optional)
E-MAIL
YEAR GRADUATED SEQUENCE
NUMBER OF STUDENTS YOU'RE WILLING TO MENTOR 1 2 3
REQUEST TO BE PAIRED WITH
STUDENTS FROM THE
FOLLOWING SEQUENCE(S)
Check all that apply
Broadcast Print Public Relations
HOW WOULD YOU PREFER TO BE CONTACTED BY STUDENT? Phone E-Mail
BRIEF DESCRIPTION OF YOUR JOB DUTIES:
BRIEF DESCRIPTION OF HOW YOU PLAN TO MENTOR THIS STUDENT (i.e., activities, etc.):

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