Mentor Program: Apply for an Account

Thank you for your interest in Xavier's Mentor Program. Once you submit your application, it will be reviewed and you will be contacted regarding your approval status and further instructions.

Account Information

Personal Information

Jim for James, Bob for Robert, etc.

Jr., Sr., III, etc.

Gender *

Employment Information

Hold [Ctrl] to select multiple

Professional Information

doc or pdf

Professional Reference

Xavier Reference

If you do not know anyone affiliated with Xavier, please provide a personal reference

By submitting my application, I agree to the terms in the Mentor Agreement. If approved as a mentor, I understand it is my responsibility to select a student in a timely manner and to notify the Career Development Office with any questions or concerns.