Faculty Mentor Program Student Application
On Campus Address
Off campus address
Check all that apply
Why are you signing up for a mentor?
Is there someone here at the University you would like to have as a mentor?
If so, please specify.
Do you have means of transportation?:
Will you be able to meet with your mentor if he/she is located off the main campus?
For example, downtown campus or CESTM BLDG.
Educational Opportunities Program
University at Albany, State University of New York
1400 Washington Ave.
Albany, NY 12222
Office: (518) 442-5180
Fax: (518) 442-5419
Tuesday thru Thursday
9:30am to 5:30pm
Monday and Friday
9:30pm to 5:30pm
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