Student Alumni Mentorship (SAM) Program Application Form

I would like to apply to be a...
The deadline for Winter 2026 alumni mentor applications is November 4, 2025 at noon (Pacific Time).
Only Student Alumni Association (SAA) members are eligible to apply as student mentees, and late submissions will not be accepted. The deadline for Winter 2026 student mentee applications is November 4, 2025 at noon (Pacific Time).
Indicate if different from current city/state/province/country
School Year
Have you ever had a career change and would you be willing to share insights about your previous career and/or career transition with your mentee?
Please specify previous career
We aim to create meaningful mentor-mentee pairings by considering shared experiences and identities beyond career interests. If you're comfortable, please indicate any identities you hold that you feel are important to share for the matching process (select all that apply):
Preferred Form of Mentor-Mentee Communication (Select all that apply)
Preferred Mode of Mentor-Mentee Meetings (Select all that apply)
Please add times and days. Ex: I am free Wednesdays after 2 PM or I am available Monday, Tuesday, and Friday in the morning. 
Which of the following do you feel you can offer a potential mentee or would like to get help with from a mentor? (Select all that apply)
E.g., discuss career alternatives or explore what you can do with given major
E.g., discuss post-graduation plans and next steps
E.g., review resume, conduct practice interview
E.g., discuss time management skills, work-life balance strategies, general office etiquette
Are you willing to mentor more than one student?
I consent to sharing all information provided on this form, including personal data, with (1) the Student Alumni Mentorship Program Coordinators and a volunteer sub-committee for the purpose of facilitating the matching process, and (2) my assigned alumni mentor/student mentee to support effective mentor-mentee communication.