Viking to Viking Mentor Registration

Please use this form to register for the Viking to Viking Mentor Program.

Students, please click here for the student registration.

Contact Information
Your Name Your Name First Last
Preferred Phone Number
Email
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
About You

This information helps us match up mentors and students in the program.
Your Hometown
High School Attended
Education and Degrees Received
Current Job Title and Employer
When attending Bethany or another college: extra-curricular activities, hobbies, or special interests:
Current activities, hobbies, or special interests:
Volunteering or other service to your community or church:
Why do you want to be a Bethany Viking Alumni Mentor?
What ways are you willing to connect with your mentee?

What ways are you willing to connect with your mentee? In person Phone call Text messages Email Video chat