Partner Organization Information

Thank you for your interest in using MentorNet.  The information you provide here will help us better serve your organization, allow us to include your organization in our on-boarding process, and provide you with recruiting materials to promote MentorNet to your students and employees. (click and drag green circle on right hand side for scrollbar).

* Required

Your First Name: *

Your Last Name: *

Email Address *

Email address we used to contact you (if different):

Partner Type: * Corporate University Association / Professional Society Foundation

Other (please specify)

Organization Name: *

Estimate the number of mentors from your organization:

Estimate the number of protégés from your organization:

When would you like to recruit your participants to join?

How would you like to recruit participants (check all that apply): Email Facebook Twitter LinkedIn Instagram Google+ Pinterest Website Webinar Live Virtual Presentation for class or meeting YouTube Video Text Messages

What else would you like us to know to help recruit and on-board your participants?

What else would you like us to know about your affiliation with MentorNet? (e.g., Prior mentor or protégé, MentorNet’s impact on you, a role you’d like to play with MentorNet in the future)