PDI Mentor Application

Thank you for your interest in becoming a mentor for UB's Professional Development Institute. We accept applications from UB alumni, staff and faculty. After you complete this application, you can opt to send your resume as well to pdi@ubalt.edu (required for those applicants not currently working at UB).

(Note: Bachelor’s degree is required to be a PDI Mentor)

If you have any questions, please e-mail pdi@ubalt.edu or contact the Career and Professional Development Center at 410.837.5440.

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* 1. Today's date

Date

Our mentoring program includes a on-campus orientation for all new mentors with several facilitators covering crucial information to enhance your effectiveness. The orientation sessions will be held day and evening for your convenience. Inability to attend training does not exclude you from applying. We will contact you to discuss potential alternatives.

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* 2. Name

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* 3. UB Affiliation (employee or alumni status required)

If you are an alumna/alumnus, enter year graduated, degree and major:

If you are faculty, enter your department and location:

If you are staff, enter your title, department and location:

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* 4. Briefly describe your current position:

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* 5. Briefly describe reasons you want to be a PDI Mentor:

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* 6. What information about you would help us match you with a student mentee?

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* 7. How many students would you like to mentor at any given time? (NOTE: We recommend taking on more than one as it is possible a student may not participate at the level expected.)

One student

Two students

Three students

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* 8. Enter information for your preferred method(s) of contact (phone numbers, emails, etc.)

At work (enter work number)

By cell (enter cell number)

By e-mail (enter e-mail address)

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* 9. Education and Professional Certifications (Please note: Bachelor’s degree is required to be a PDI Mentor):

Undergraduate degree (list school, degree, major)

Graduate/professional degree (list school, degree, major)

Other (enter details)

Licenses/certifications (enter details)

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* 10. Professional involvement/memberships held (last 6 years):

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* 11. Career highlights (last 6 years):

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* 12. What areas of expertise or training do you have that we might not know about? (Ex.: One of our mentors is a graphic designer pursuing an MFA; another mentor is a law school student; etc.) This information will be compiled in our Mentor Resource Manual so that other mentors can refer their students to you about specific areas of interest they may have.