Questionnaire
Please note that a copy of this form will be given to your mentor. Please include any information about yourself that you think will help us match you with a mentor.
Name:
E-mail address:
Year you graduated from college:
Anticipated year you will graduate from the Journalism School:
Are you a full-time or part-time student?: Full-time Part-time
Home address:
Home phone number:
If you are working, please provide the business name and phone number
Primary area of interest: (please check only one) Newspapers Magazines Television Radio New Media Other (please specify):
Secondary area of interest: (please check only one) Newspapers Magazines Television Radio New Media Other (please specify):
Short-term career goal (upon graduation):
Where (city/region/country) do you hope to work after graduation?:
Long-term career goal (more than five years after graduation):
Is there a subject/beat you are particularly interested in covering? (i.e. business, entertainment, religion, health, sports, metro):
What do you hope to gain from your relationship with a mentor?
If you would like to send your resume, please cut and paste it in the box below:
