Young Alumni Leadership Program Mentee Application

Thank you for your interest in participating in the Young Alumni Leadership Program. Please fill out the application below and submit it by May 30, 2013. If you have any questions please contact Erin Stringer, estringe@gettysburg.edu in the Office of Alumni Relations or Andy Hughes, ahughes@gettysburg.edu in the Garthwait Leadership Center.

1. Name:

Name:

2. Class Year:

Class Year:

3. Address:

Address:

4. Phone:

Phone:

5. Email:

Email:

6. Preferred contact method:

Preferred contact method: Phone

7. Gettysburg College Major:

Gettysburg College Major:

8. Occupation/Title:

Occupation/Title:

9. Company/Employer Name:

Company/Employer Name:

10. Please briefly describe your job responsibilities:

Please briefly describe your job responsibilities:

11. Advanced Degree/Institution:

Advanced Degree/Institution: