Alumni Mentor Sign-Up Form
  1. The goal of Quincy University’s Alumni Mentor Program is to connect students with experienced and knowledgeable alumni professionals. Our alumni community is an invaluable resource for students in the earliest stages of their own career development.
  2. While each mentor/mentee relationship is different and based wholly on the commitment of those directly involved, each mentor/mentee relationship is founded upon mutual trust and respect between the mentor and mentee.
  3. Please fill out the following information to join our directory of mentors. We will contact you when a student requests you as a mentor. Thank you for your support of the Alumni Mentor Program!
  4. First Name
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  5. Last Name
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  6. Graduation Year
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  7. Address (line 1)
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  8. Address (line 2)
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  9. City
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  10. State
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  11. Zip Code
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  12. Phone
  13. E-Mail Address
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  14. Current Employer
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  15. Industry/Field
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  16. Position or Title
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  17. Professional Background
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  18. Why do you wish to be an alumni mentor?
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  19. Upon clicking “Submit”, your application will be received and recorded by QU’s Mentor Coordinators. If a student requests a mentor in a field similar or comparable to yours, one of our Mentor Coordinators will contact you with details. Meetings between you and your mentee can be facilitated through a means of your choosing (in person, phone, e-mail, Skype, etc.).

    If you are having trouble with the form, feel free to contact the Office of University Advancement at 217-228-5209.