SDNK Mentor Questionnaire

Mentorship is a proven lever for professional success but few college students have the connections to create these relationships on their own. By pairing each Neal Kocurek Scholarship recipient with a mentor well before graduation, unknown avenues of possibility become real opportunities.

Pairing scholars with mentors began in 2009, and since that time, 93% of the scholars have completed their degrees. We credit this retention rate to a variety of factors, but particularly the support and guidance provided by mentorship.

Mentors agree to a four-year commitment alongside their mentee during the student’s undergraduate college journey. Learn more about the program here.

Mentor Roles & Responsibilities:

Reach out to your mentee at least once per semester and try to meet up either in-person or virtually
Encourage & support your student in school. We encourage you to get to know your mentee, learn their academic goals and cheer them on along the way.
Assist your student with networking & internship opportunities, when possible.
And, most of all, HAVE FUN! The scholarship program also hosts one or more in-person events each year to connect students with their mentors in person.

When possible, the program team seeks to pair scholars with professionals who share similar backgrounds and career focus. To determine what kind of student would most benefit from your mentorship, please share with us the following information:

Question Title

* 1. Name

Question Title

* 2. Title/Profession

Question Title

* 3. Employer

Question Title

* 4. Preferred Phone Number(s)

Question Title

* 5. Preferred Email address

Question Title

* 6. Preferred Mailing Address (Personal OR Business- will only be used for our mentor database)

Question Title

* 7. Educational background (College or University attended for Undergraduate/Graduate/Medical School and Degree(s) earned )

Question Title

* 8. Hobbies

Question Title

* 9. Our SDNK scholars come from many different backgrounds, ethnicities, religions, urban and rural communities, family structures etc. Please give us any information that might assist us in pairing you with a student with a similar background.

Question Title

* 10. Any additional information you would like to share with us or anything to consider as we pair you with a scholar?

Question Title

* 11. Please upload a headshot to share with your mentee.

As we return to in person events, sharing a headshot with your mentee will help them spot you at future events.

PNG, JPG, JPEG file types only.

Choose File