JotForm

Mentor Application
Please complete the information below. If you have any questions, please contact Kim Crockett, kim.crockett@westgatech.edu or call 706-756-4678.
First & Last Name:
Campus:
Phone Number:
Department:
WGTC Email:
Please describe how you can help a mentee achieve his/her academic goals.
Achieve Goals:
Should be Empty:

Mentor Application