Mentor Application

Name

Salutation

First

Last

Organization

Phone number

Email Address

I would like to mentor a:

NAPB Borlaug Undergraduate Scholar
NAPB Borlaug Graduate Scholar
Either

I will be attending the following NAPB Annual Meeting (mentors are required to attend)

Yes
No

I will commit to regularly mentoring a Borlaug Scholar for an entire year if I am selected as a mentor

Yes
No

Primary Reasons for Becoming a Mentor

How many years have you been in the profession?

State your areas of expertise and professional interests that you would share with your scholar.

Have you been a NAPB Borlaug Scholar mentor or a mentee?

Mentor Mentee Neither Both

Provide Additional Information You Would Like to Share With the Selection Committee or Your Scholar

Located In Your Geographical Location

Very Important Important Neutral Somewhat Important Not Important

I can provide information about graduate school

Very Important Important Neutral Somewhat Important Not Important

I can provide information about employment opportunities

Very Important Important Neutral Somewhat Important Not Important