National Consortiun For Continuous Improvement In Higher Education

NCCI Mentoring Program

Mentor Application

The information provided on this form is strictly confidential. The information you provide will be used by NCCI to match you with an NCCI mentee and will not be used for any other purpose.

Please note: Mentor assignments are limited to current and former NCCI Board of Director members who have a working knowledge of the organization and its various resources and who have the desire to help new members get adjusted to the consortium and the membership benefits of NCCI.

Name:

Title/University:

Campus Address:

City: State:

Email Address:

Please check the item that best describes you:

Administration Faculty Staff

Please answer these questions. Your answers will be used to effectively match you with a mentee.

What motivates you to become involved in the NCCI Mentoring Program?
How many mentees do you feel comfortable mentoring at one time.
One Two Three

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