PLEASE READ BEFORE YOU COMPLETE THIS FORM TO AVOID LOSING POINTS: 1. Complete this form in ONE SITTING. Do not leave it open in your browser to do later - this will result in the form not submitting properly and loss of points for the assignment. 2. Please complete this form with as much detail as possible. The information you provide will help Amanda match you with a mentor who can best support your goals and interests in this program. 3. After you click "submit" you will get a confirmation email. If you do not receive a confirmation email, you mistyped your email address or it has not submitted and you will not get credit. Please reach out to Amanda.Spada@uconn.edu ASAP if you do not get the confirmation email to avoid point penalty. 4. 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.