Thanks very much for your interest in the Valpo Alumni Mentoring Network! Please complete the following form to register for the Network. Any personal contact information you choose to include will be used for administrative purposes only, and will not be accessible to students. A * denotes a required field.

First Name: Last Name: Email Address: Address Location: Home Business Address:

City: State: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip: Phone (XXX-XXX-XXXX): Company Name: College: College of Arts and Sciences College of Business Administration College of Christ College College of Engineering College of Nursing School of Law Graduate Programs Degree Type: Year Degree Conferred: How did you find out about the Mentoring Network?: Mailings Alum Career Center Office of Alumni Relations VAN Valpo Guild Other

After submitting this form, you will be entered into our volunteer database. Please click on the Sign Up button below to register with our volunteer database. You will receive an email with your user name and password, as well as tips for completing your online profile.