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Gateway to Success Mentee Application Form

The Gateway to Success Mentoring Program

Please complete the form below. All information collected in this application will be held securely by the program.

First Name (Required)

Last Name (Required)

Your E-Mail Address (Required)

Campus address (Required)

Permanent or Home Street Address (Required)

City (Required)

State (Required)

Zip Code (Required)

Home phone

Cell phone

Best time(s) to call

Gender

Male
Female

Year in college (freshman, sophomore, etc.)

Major(s)

Minor

Current or past work experience

Career goals

Interests and hobbies

Other considerations, concerns or comments important to you as we work to pair you with a faculty mentor?

Your expectations for the mentoring relationship--what you hope to gain by having a faculty mentor

by Kercher, Stephen E — last modified Sep 06, 2011 03:21 PM

Beyond Classroom Walls is an online multimedia publication, which highlights excellence in teaching and learning in the College of Letters and Science and throughout campus.
History, Design and the Work of George Edwin Bergstrom
Kevin Rau: Designer and Musician
Midwest in the Far East

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Welcome Fall 2012