Mentor Program

Mentor Information
Please fill in your personal information below. Check all that apply in applicable sections.

Name*

Email Address*

Phone Number*

Current Employer*

Title*

Business/Industry of Interest (select all that apply)*








Areas of Expertise (select all that apply)*










Affiliation with UMass Lowell (if any)

Link to Professional Website (ie LinkedIn)*

Why do you want to be a UMass Lowell mentor? (limit 500 characters)*

Which program are you interested in?*




Are you interested in mentoring more than one project?*



Additional Information (limit 500 characters)

How did you hear about the UMass Lowell Mentor Program?*

* required field