Greater Syracuse Disability Mentoring Day

Celebrating National Disability Employment Awareness Month

October 21, 2009

"Being a mentor offers the chance for you to help students and job seekers with disabilities expand their horizons, solidify career goals and learn from a practical perspective what life is like on the job." 

 

Become a Mentor!

 

Become a Mentee!

Greater Syracuse Disability Mentoring Day Mentor Application for October 21, 2009

Become a Mentor Now!

(Note:  * = Required Field)

*Company:
Department:
*Name:
*Street:
*City/State/Zip:
*Phone:
Fax:
*Email Address:
Work Site Address (if different than above):
How did you hear about DMD? Past Participant
Media
Greater Syracuse DMD web site
Agency Representative
Other
More info: "Name of Agency Rep" or "Other":
*Total # Mentees:
Mentee Position #1:
Type #1: Tour
Job Shadow
Hands-on
Mentee Position #2:
Type #2: Tour
Job Shadow
Hands-on
Mentee Position #3:
Type #3: Tour
Job Shadow
Hands-on
Mentee Position #4:
Type #4: Tour
Job Shadow
Hands-on
Mentee Position #5:
Type #5: Tour
Job Shadow
Hands-on
Mentee Position #6:
Type #6: Tour
Job Shadow
Hands-on
Referring Agency: