AMP logo

Hello!

Thank you for considering to participate in the WesternU Alumni Mentor Program (AMP). As we strive to achieve an impactful experience, please know matches are based on the information you provide on the application. Please fill out the form below to begin the process.

Note: Your contact information (phone and email) may be shared later in the process solely with the individual(s) you may be matched with.

Alumni Mentor Program

Personal Information
Student
Alumni
Review

Personal Information

Audience

I am a(n):

Alumnus/a

Student

Personal Information

Student ID (If Known)

First Name*

Last Name*

Address*

City of Residence*

State of Residence*

Zipcode*

Email*

Phone Type*

Phone*

College*

Class Year*

Questions

Tell us about yourself (Current Employment, Interests, Hobbies, etc)

What do you hope to gain and learn through the program?