Senior Design Coach Application

Last Name, First Name Required

Email Address Required

Shipping Address

This will not be shared. It's used only for shipping you a token of appreciation at the end of the year.

Company

Job Title

Phone Number

LinkedIn Profile URL

Location

I would prefer to work with students on campus.

I would prefer to work with students remotely on tools such as Zoom or Teams.

I have no preference.

List any other project types you've worked with

List any other technologies you've worked with

List any other competencies you have

Anything else you'd like us to know about?

Tell us what you hope to gain from this experience and what you think you think you can bring to the team.

Referral Name

Other Source

In what capacity and in what year were you involved with Senior Design