BCLC Mentee Information Form – Fall 2025

Please fill out the form below by Monday, August 25th (First day of classes)

Completing this form is worth 5 points of your grade.

Please complete this form with as much detail as possible. The information you provide will help us match you with a mentor who can best support your goals and interests in this program. Keep in mind that your mentor’s career may not perfectly align with your intended path—and that’s okay. The primary goal of this course and mentoring experience is to help you build meaningful professional connections, develop your networking skills, and learn how to cultivate and maintain a strong mentoring relationship.

Step 1 of 3

Name(Required)