El CorazónLogo El Corazón de Tejas-Central Texas Chapter of REFORMA

Mentor Application Form

School of Information and El Corazón de Tejas Mentor Partnership

Mentor: a trusted counselor or guide; a tutor or a coach

 Please complete this form to be matched with a current student at the School of Information.


Title/Position:                                                                           Years in current position:                            

Library/Organization Name:                                                                                                                          

Work Address:                                                                                                                                             

Work Phone Number:                                                  Home Phone Number:                                           

Preferred e-mail address:                                                                                                                           

 The following questions will assist the ISchool Career Services office in matching mentorships.

Areas of specialization and interest:



Briefly list education and previous experience (degree, year, school, major area of study):



Professional/Community Associations and Involvements:



Mentor Applicant's Signature:                                                                                     Date:                           

Print this form, and send to:       

Ron Pollock, Director of Career Services

School of Information

The University of Texas at Austin
1 University Station - D7000

Austin, TX 78712-0390

Work Phone: (512) 471-2623 E-mail: rpollock@ischool.utexas.edu

School of Information and El Corazón de Tejas Mentor Partnership was establish in November 2002.  Upon submitting this form, the Career Services Office at the School of Information will match you with a currect student interested in a professional mentor. Matches are assigned on a semester-by-semester basis. This match commits you have six hours of contact time with your student through lunches, informal meetings, work tours, etc. Please contact Ron Pollock or Margo Gutierrez with questions.


Updated:  January 26, 2003