TTU Outreach and Engaged Scholarship Faculty Mentoring Network Membership Form

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* 1. Name

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* 2. Email Address

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* 3. What is your position/title?

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* 4. What college or unit are you a member of?

Davis College of Agricultural Sciences & Natural Resources

College of Architecture

College of Arts & Sciences

Jerry S. Rawls College of Business Administration

College of Education

Edward E. Whitacre Jr. College of Engineering

Honors College

College of Human Sciences

College of Media & Communicaion

J.T. & Margaret Talkington College of Visual & Performing Arts

Graduate School

School of Law

School of Veterinary Medicine

University Libraries

Office of the President

Office of the Provost

Office of the Vice President for Research

Office of Diversity, Equity, & Inclusion

Office of International Affairs

Other (please specify)

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* 5. Please indicate in what capacity you wish to participate in the network

I'd like to be a Mentor

I'd like to be a Mentee

I'd like to participate as a Mentor and Mentee

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* 6. Mentors: What area/s are you comfortable mentoring?

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* 7. Mentees: What area/s are you looking to be mentored in?

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* 8. All: Please indicate your peer mentorship preferences.

Work one-on-one with a mentor/mentee

Work in a group setting

No Preference

Other (please specify)

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* 9. All: How many hours are you willing or able to spend on mentoring activities?

1-3 hours per week

1-3 hours per month

4-6 hours per month

More than 6 hours per month

Other (please specify)