Rohrer College of Business @ Rowan University

Accounting Mentorship Program - Mentor Registration

First Name:    Last Name:    Title: Mr Ms Dr
Home Address:
City:    State:    Zip Code:    Phone:

Employer Name:
Employer Street Address:
Employer Street Address (Continued):
City:    State:    Zip Code:   
Phone (Please enter as: xxx-xxx-xxxx):
Job Title:
Area(s) of accounting work in your current position:
Corporate       Tax       Public       Government/NonProfit       Forensic
   Other, please specify:

Preference for hard copy mailings:   Home   Work
Preferred Email:
Other Email:     Mobile Phone:

Are you a graduate of Rowan University/Glassboro State College? If yes, please provide the following data:   
  What year did you graduate?
  What was your major/specialization?
  Did you use a different last name while attending (e.g., maiden name)?

Create a username to access and update your information in the future:
Please create a password: