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

Job title and organization info will be shared on our current mentors site - of which you may opt out if desired.

Hold [Ctrl] to select multiple

Preferred Contact Information

Contact information will be shared with your student mentee upon selection and used for Mentor Program business only. It will not be shared with outside parties.

Professional Information

e.g., name of current Mentor, XU staff, explain "other", etc.

Please either enter your LinkedIn URL or upload your resume.

Please enter the full URL, including "https://".

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.