C3: Creating Career Connections Mentor Registration

COACH (Count on Alumni for Career Help) Mentor Information

Thank you for your interest in the C3: Creating Career Connections shadowing program at St. John’s University.

Please complete the information below so that we can best match students with your company.

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* 1. Mentor First Name:

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* 2. Mentor Last Name:

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* 3. Company / Organization:

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* 4. Location: [Please include the full address of the location]

Street Address

City

State

Zip Code

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* 5. Mentor Phone:

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* 6. Mentor Email:

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* 7. Brief description of job responsibilities, company / organization:

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* 8. Are you an alumnus of St. John's University?

Yes

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* 9. Dates you are available to host an extern: [check all that apply]

February 22, 2016

February 23, 2016

February 24, 2016

February 25, 2016

February 26, 2016

Other (please specify)

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* 10. Maximum number of students you can host at a time:

Other (please specify)

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* 11. Hours of participation: [For example, 9am-4pm]

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* 12. Expected attire:

Casual

Business Attire

Business Professional

Other (please specify)

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* 13. Preferred majors to host: [please check all that apply]

Note: While we will do our best to match students based on your selections, we may reach out to place a student with a different major based on their career goals.

Any Major | All Majors

Accounting and Taxation

Actuarial Science and Insurance

Adolescence, Childhood & Counselor Education

Advertising, Communication, Graphic Design, Marketing and Public Relations

Business Management

Computer Science, Cyber Security, Information Systems, Mathematics and Science (STEM)

Criminal Justice, Legal Studies, and Homeland Security

Economics and Finance

Fine and Performing Arts

Hospitality and Sport Management

Liberal Arts (Humanities & Social Sciences)

Pharmacy, Health Sciences and Public Health

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* 14. Are there special workplace considerations we must consider before placing a student with you?

Yes

If yes, please describe

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* 15. Does your work environment adhere to the Americans with Disabilities Act (ADA) Amendments Act?

Yes

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* 16. Is a background check required for a student to observe at your company/organization?

Yes

If yes, please give an approximate time frame for how long this may take?

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* 1. Mentor First Name:

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* 2. Mentor Last Name:

Question Title

* 3. Company / Organization:

Question Title

* 4. Location: [Please include the full address of the location]

Question Title

* 5. Mentor Phone:

Question Title

* 6. Mentor Email:

Question Title

* 7. Brief description of job responsibilities, company / organization:

Question Title

* 8. Are you an alumnus of St. John's University?

Question Title

* 9. Dates you are available to host an extern: [check all that apply]

Question Title

* 10. Maximum number of students you can host at a time:

Question Title

* 11. Hours of participation: [For example, 9am-4pm]

Question Title

* 12. Expected attire:

Question Title

* 13. Preferred majors to host: [please check all that apply]Note: While we will do our best to match students based on your selections, we may reach out to place a student with a different major based on their career goals.

Question Title

* 14. Are there special workplace considerations we must consider before placing a student with you?

Question Title

* 15. Does your work environment adhere to the Americans with Disabilities Act (ADA) Amendments Act?

Question Title

* 16. Is a background check required for a student to observe at your company/organization?

* 13. Preferred majors to host: [please check all that apply]

Note: While we will do our best to match students based on your selections, we may reach out to place a student with a different major based on their career goals.