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Student Mentoring Program Interest Form

Thank you for your interest in the Student Mentoring Program.

By filling out and submitting the following form, you are signing up to be matched with a mentor.

she/her, he/him, they/them, other (please list)
How should we contact you?
For example: Nutrition, A.S.; if unsure, don’t worry about it! Just leave blank!
What would you like to talk about with your mentor?
Check all that apply.
How “structured” / “planned” do you want your mentor relationship to be?
Check all that apply.
Would you be interested and able to participate in off-campus activities with your mentor?
How did you hear about this program?
For example: “I prefer someone who knows my degree program,” or “I prefer someone who shares my own ethnic background,” or “Someone who understands what it is like to be _______"