Xcel, Inc. Mentee Registration Completing this form enters you into Xcel, Inc.'s Mentee Pool. By submitting this form, you give us the permission to use the information provided to match you with an appropriate mentor. If you are matched with a mentor, you will receive a Welcome Package and steps to comfiming your participation in the Xcel, Inc. Mentoring Program. If you have any questions about this form, please contact Kristin Wormley or Tricia Brunton.
	First Name
	Last Name
	Email:
	Phone Number:
	Which 2010 mentoring rotation would you like to participate in?	March to September June to December September to March, 2011
	Name of your educational institution?
	Select year of study:	1st Year student 2nd Year student 3rd Year student 4th Year student 5th Year student (Five Year Institutions)
	What is your major?	Accounting African-American Studies American Sign Language Anthropology Architecture Athletic Training Behavioral Neuroscience Biochemistry Biology Biomedical Physics Chemical Engineering Chemistry Civil & Environmental Engineering Clinical Exercise Physiology Communication Studies Computer Engineering Computer Science Criminal Justice Economics Education Electrical Engineering Engineering Technology English Entrepreneurship Environmental Geology Environmental Studies Finance Geology History Human Resource Management Human Services Industrial Engineering Information Science International Affairs Journalism Law Liberal Arts Major Preference (LAMP) Linguistics Management Management Information Systems Marketing Math Mechanical Engineering Medical Laboratory Science Modern Languages Music Nursing Pharmacy Philosophy Physical Therapy Physics Political Science Psychology Respiratory Therapy Sociology Speech Language Pathology and Audiology Theatre Visual Arts Other
	If selected other, please indicate in the space provided
	If you have a dual concentration or minor, please indicate this information in the space provided	Accounting African-American Studies American Sign Language Anthropology Architecture Athletic Training Behavioral Neuroscience Biochemistry Biology Biomedical Physics Chemical Engineering Chemistry Civil & Environmental Engineering Clinical Exercise Physiology Communication Studies Computer Engineering Computer Science Criminal Justice Economics Education Electrical Engineering Engineering Technology English Entrepreneurship Environmental Geology Environmental Studies Finance Geology History Human Resource Management Human Services Industrial Engineering Information Science International Affairs Journalism Law Liberal Arts Major Preference (LAMP) Linguistics Management Management Information Systems Marketing Math Mechanical Engineering Medical Laboratory Science Modern Languages Music Nursing Pharmacy Philosophy Physical Therapy Physics Political Science Psychology Respiratory Therapy Sociology Speech Language Pathology and Audiology Theatre Visual Arts Other
	If selected other, please indicate in the space provided
	What state would you like your mentor to reside?	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
	Please describe (in as much detail as possible) what profession or career field you are interested in pursuing
	Please list specific things that you would like a potential mentor to know about you before you are paired together
	What words would you use to describe the characteristics of your potential mentor?
	what words would you use to describe your characteristics to your potential mentor?
	Please list what your expectations are for your participation in the Xcel, Inc. mentoring program:
	Please use this space provided for comments, suggestions, or questions
	Thank you for Registering!