NEWH Mentorship Program Signup Mentorship Form Chapter Contact Name Birthdate (for office use only) Contact Phone Email Full Mailing Address Currently Employed? Yes No Company Name Position/Title Year Entered Industry Are you a current student? Yes No School Name Graduation Date Focus of Discipline within Hospitality Industry: Interior Design Procurement Sales Hospitality Management Verify you are not a robot: If you have questions on the NEWH Mentorship Program, please contact: Stacy Costa scosta@koroseal.com