Academic Staff in the Know (A.S.K.)

Mentor Information Form

Name:

Department:

Appointment Percentage:

Phone:

Email address:

How long in your current unit?

How long at the university?

What skills or expertise can you offer as a mentor?

Please return to the Academic Staff Council office, 217 Graff or email your response to acstaff@uwlax.edu.  If you have questions, please call 785-8815.