First Name: Last Name:

Address:

City: State: ZIP:

Primary Phone: Secondary Phone:

Preferred E-Mail:

I can comfortably mentor up to students

Optional Upload Resume (Microsoft Word or PDF format ONLY):
NOTE: By Uploading your resume you agree that members of the PSMES Mentoring Committee may see it.

Technical Interests

Check one of these two technical interest areas. You may have interests, experience, and networks in both areas, however, chose the one you feel is more dominant in your career.

Mechanical Systems (System Dynamics and Control; Solid Mechanics, Materials, and Manufacturing; Vibration and Noise Control; Rigid Body Mechanics)
Thermal Sciences (Thermodynamics; Heat Transfer; Fluid Mechanics; Combustion)

Career Experiences

List your career experiences and your long term career aspirations. Check those areas where you feel you could advise and guide a student with similar goals. (Check UP TO THREE)

Leadership (entrepreneur, business owner, Chief Executive Officer)
Non-Technical Management (production, sales, marketing, finance, purchasing, etc.)
Technical Management (equipment, product, process, program, manufacturing, research)
Engineering Design, & Development (materials, product, process, tools, equipment)
Education and/or university Research
Industry/Government Research

Industry Categories

Select all of the industry categories where you have some knowledge or experience and a network of connections. You may want to include those industries where you have close supporters, suppliers and customers. (Please check ALL THAT APPLY.)

Aerospace
Agriculture
Automotive
Bio-Medical
Construction (buildings, highways, bridges, tunnels, docks, etc.)
Consulting
Defense/Military
Electrical
Energy (power generation and transmission: fossil, nuclear, wind, tidal, geothermic, solar.)
Education
Financial
Forest Products (logging, paper, lumber, bio-fuel)
Government Research and Development
Heating Ventilating and Air Conditioning
Information Technology
Legal/Patent
Logistics (Transportation/Warehousing/Scheduling)
Machinery/Equipment
Medical Equipment
Mining
Petroleum/Gas/Shale
Robotics
Telecommunications
Suggest an industry for future consideration:

Hobbies/Interests

Choose up to 3 Hobbies/Interests:

Individual Sports (Raquet Ball, Frisbee, etc.)
Team Sports (Football, Basketball, etc.)
Arts, Music, and Culture
Social, Religious, and other group activities
Manual Arts and Crafts
Business and Politics
Science, Computers, and Technology
Outdoor Activities (Hunting, Fishing, etc.)

Verification:

HUMAN
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