E-mail address:

Title (Dr., Ms., Mr., etc.):

Name:

Name of Daughter/Son (if applicable):

Employer:

Job Title:

Type of Organization (banking, non-profit, etc.):

Mailing Address:

Mailing Address 2:

PO Box:

City:

State: Zip Code:

Country:

Province:

Home Phone:

Work Phone: Ext.:

FAX number:

Last year at Southwestern (if applicable):

Preferred method of contact by students (please choose any that apply):
Email
Phone
Letter

Career Mentoring Activities (please indicate all that interest you):

Career Mentor: I'm willing to provide students and alumni with information about my career background and experiences via email, phone, etc.

Internships: I'm willing to discuss with Career Services the possibility of an internship with my organization for qualified students (may be paid or unpaid)

Externships: I'm willing to discuss with Career Services the possibility of hosting a student/small group of students for a day-trip visit to my organization

On-Campus Recruiting: My organization would be willing to consider the possibility of recruiting and interviewing on campus for internships and full-time positions or reviewing resumes referred by Career Services

Please write any comments in the space below.