SCS Women in Tech Summer Mentorship Program Application

What is your current status?

What is your current status? Student Alumni Faculty/Staff
Full Name Full Name First Last
Nickname (if applicable)
Degree Program
Degrees:
Graduation Date: Graduation Date: / MM / DD YYYY
Graduation Date: (If Applicable) Graduation Date: (If Applicable) / MM / DD YYYY
Current Position:
Company Name:
Company Location (City, State)
Current Home Address Current Home Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Current Class Year
Expected Graduation Expected Graduation / MM / DD YYYY
Academic Advisor Name
Home City
Home State
Phone Phone - ### - ### ####
Andrew Email Address
Personal Email Address
Preferred Email Address:
Please indicate preferred method of communication:

Please indicate preferred method of communication: Phone Email
In what geographic areas do you have strong professional networks?
Are you open to remote (i.e. virtual) mentorship?

Are you open to remote (i.e. virtual) mentorship? Yes No
Please tell us more about yourself. What are your hobbies/interests/passions?
Qualifications
Please list any additional education, certifications or specialties (if applicable):
Please tell us more about yourself. What are your hobbies/interests outside of your position?
Program Expectations
Please select three areas in which you believe you can provide the most guidance to students.

Please select three areas in which you believe you can provide the most guidance to students. Interview navigation Constructing a tech resume Exploring the city Alternative careers in tech Negotiation tactics Pursuing academia/postgraduate degrees Life after college Being a woman in a male dominated field Maximizing your internship Other Other
What role do you hope to play for your mentee in this relationship?
Please select all that apply:

What role do you hope to play for your mentee in this relationship?
Please select all that apply: Advisor Listener Advocator Life Coach Friend Collaborator Other Other
What expectations do you have for your mentor/mentee relationship?
Internship Information
Will you participate in an internship this summer?

Will you participate in an internship this summer? Yes No Undecided
Internship Company
Internship Address (City, State)
Internship Start Date Internship Start Date / MM / DD YYYY
Internship End Date Internship End Date / MM / DD YYYY
Please describe what you’ll be doing during your internship.
Program Expectations
Please select the three areas you are most interested in discussing with your mentor:

Please select the three areas you are most interested in discussing with your mentor: Interview Navigation Constructing a tech resume Exploring the city Alternative careers in tech Negotiation Tactics Pursuing academia/postgraduate degrees Life after college Thriving as a woman in a male dominated field Strategies for maximizing your internship Other Other
What role do you hope to have your mentor play in this relationship? Please select all that apply:

What role do you hope to have your mentor play in this relationship? Please select all that apply: Advisor Listener Advocator Life Coach Friend Collaborator
Why are you interested in having a mentor?
Availability

Please indicate your availability for meeting days/times with your mentor. Please try to select at least six times.
	Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
Mornings 8AM - 11AM	Mornings 8AM - 11AMSunday	Mornings 8AM - 11AMMonday	Mornings 8AM - 11AMTuesday	Mornings 8AM - 11AMWednesday	Mornings 8AM - 11AMThursday	Mornings 8AM - 11AMFriday	Mornings 8AM - 11AMSaturday
Middays 11AM - 1PM	Middays 11AM - 1PMSunday	Middays 11AM - 1PMMonday	Middays 11AM - 1PMTuesday	Middays 11AM - 1PMWednesday	Middays 11AM - 1PMThursday	Middays 11AM - 1PMFriday	Middays 11AM - 1PMSaturday
Afternoons 1PM - 5PM	Afternoons 1PM - 5PMSunday	Afternoons 1PM - 5PMMonday	Afternoons 1PM - 5PMTuesday	Afternoons 1PM - 5PMWednesday	Afternoons 1PM - 5PMThursday	Afternoons 1PM - 5PMFriday	Afternoons 1PM - 5PMSaturday
Evenings 5PM - 8PM	Evenings 5PM - 8PMSunday	Evenings 5PM - 8PMMonday	Evenings 5PM - 8PMTuesday	Evenings 5PM - 8PMWednesday	Evenings 5PM - 8PMThursday	Evenings 5PM - 8PMFriday	Evenings 5PM - 8PMSaturday
Late Evenings 8PM - 11PM	Late Evenings 8PM - 11PMSunday	Late Evenings 8PM - 11PMMonday	Late Evenings 8PM - 11PMTuesday	Late Evenings 8PM - 11PMWednesday	Late Evenings 8PM - 11PMThursday	Late Evenings 8PM - 11PMFriday	Late Evenings 8PM - 11PMSaturday

Please indicate your availability for meeting days/times with your mentee:
	Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
Mornings 8AM - 11AM	Mornings 8AM - 11AMSunday	Mornings 8AM - 11AMMonday	Mornings 8AM - 11AMTuesday	Mornings 8AM - 11AMWednesday	Mornings 8AM - 11AMThursday	Mornings 8AM - 11AMFriday	Mornings 8AM - 11AMSaturday
Middays 11AM - 1PM	Middays 11AM - 1PMSunday	Middays 11AM - 1PMMonday	Middays 11AM - 1PMTuesday	Middays 11AM - 1PMWednesday	Middays 11AM - 1PMThursday	Middays 11AM - 1PMFriday	Middays 11AM - 1PMSaturday
Afternoons 1PM - 5PM	Afternoons 1PM - 5PMSunday	Afternoons 1PM - 5PMMonday	Afternoons 1PM - 5PMTuesday	Afternoons 1PM - 5PMWednesday	Afternoons 1PM - 5PMThursday	Afternoons 1PM - 5PMFriday	Afternoons 1PM - 5PMSaturday
Evenings 5PM - 8PM	Evenings 5PM - 8PMSunday	Evenings 5PM - 8PMMonday	Evenings 5PM - 8PMTuesday	Evenings 5PM - 8PMWednesday	Evenings 5PM - 8PMThursday	Evenings 5PM - 8PMFriday	Evenings 5PM - 8PMSaturday
Late Evenings 8PM - 11PM	Late Evenings 8PM - 11PMSunday	Late Evenings 8PM - 11PMMonday	Late Evenings 8PM - 11PMTuesday	Late Evenings 8PM - 11PMWednesday	Late Evenings 8PM - 11PMThursday	Late Evenings 8PM - 11PMFriday	Late Evenings 8PM - 11PMSaturday

Any questions or comments?
Additional Information

To help us make the best match, please upload your resume or provide your LinkedIn profile
Resume Upload

Attach Files
LinkedIn URL
Please provide a short introduction about yourself.

SCS Women in Tech Summer Mentorship Program Application

Qualifications

Program Expectations

Internship Information

Program Expectations

Availability

Additional Information