Silver Scholar Membership Information
First Name
Last Name
Former/Maiden Name
Phone Number:
Email:
Date of Birth:
Family member and relationship to other Senior Scholar members:
Are you a Saint Leo Alum:
Yes
No
Year:
Fun Facts: These will help us match you to mentees if you would like one; invite you to special events; invite you to share your knowledge/speak, etc.:
If attended college, what college?
If attended graduate or professional school, what college?
Profession:
Company/employer during bulk of career:
Topics on which you would serve as a discussion leader:
Talents or skills you would feel comfortable teaching to others:
Are you willing to serve as a mentor to a college student? Called a Wise Guide, these mentors can serve as business/profession mentors and/or adopted grand parents, and/or someone to go to for advice from someone older and wiser.
Yes
No
Do you have accessibility needs and/or eating restrictions of which we should be aware so that we may do our best to accommodate you?
Yes
No
Accessibility needs and/or eating restrictions:
By selecting the submit button below you will be redirected to the
Saint Leo University's Center for Alternative Pathway Programs (CAPPS) website, where you may pay/purchase your Silver Scholar Annual membership to
the
program.
Contact Information