NEWH Mentorship Program Signup Mentorship Form Chapter Contact Name Birthdate (for office use only) Contact Phone Email Full Mailing Address Currently Employed? YesNo Company Name Position/Title Year Entered Industry Are you a current student? YesNo School Name Graduation Date Focus of Discipline within Hospitality Industry: Interior DesignProcurementSalesHospitality Management Δ If you have questions on the NEWH Mentorship Program, please contact: Stacy Costa scosta@koroseal.com