Women in Engineering - The Ohio State University

2005-2006 Professional Mentor Information

If you wish to join the Women in Engineering Peer Mentor Program, please fill out the following form. Please direct any questions to us at wie@osu.edu.

As a professional mentor, you will be matched with a group of undergraduate students who are in your field. You will be invited to our quarterly Peer Mentoring events and will be seated with your group at these events. You will act as a resource for these women, who will be provided with your contact information so that they have the ability to contact you outside of our organized events.

First Name:
Last Name:
Job Title:
Company:
Degree(s):
E-mail:
Street:
City: State: Zip Code:
Phone Number:

I would like to be matched with students from the following major(s) (select one or more):

Aerospace	Engineering Physics
Aviation	Food, Agricultural & Biological
Architecture	Industrial & Systems
Chemical & Biomolecular	Materials Science
Civil & Environmental	Mechanical
Computer Science	Welding
Electrical & Computer

Does your company accommodate job shadowing requests? yes no
Would you be interested in hosting a group tour of your company? yes no

Other interests/hobbies: