Bobcat Mentoring Application

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Personal Information

First Name

Last Name

Phone Number

Address 1

Address 2

City

State

Zip /Postal Code

Academic Information

What is your class year?

What is your cumulative GPA?

What is your major?If you are undeclared, please indicate so here.

What is your minor?Enter N/A if you do not have a minor.

If you have a faculty nomination, please enter the name of the faculty member who nominated you.

Additional Information

Students choose to be mentored for a variety of reasons. Please tell us why you would like to participate in this program.

Please list three goals you'd like to accomplich through the Mentorship Program (e.g. resume critique, interviewing skils, expanding your professional network)

What is your preferred method of communicating with a mentor throughout the duration of the mentorship (e.g. face-to-face, telephone, e-mail, Skype)?

Are you able to commit to participating in person in the program Orientation/ Kick Off event and participate for one full year?

Yes

If you answered 'no' to the previous question, please provide an alternative option for participation.

While it is the Program's responsibility to match you with a mentor, do you have any preferences about your mentor we should take into acount?

Please provide us with any additional information which would be useful for us to know in matching you with a mentor.

What MSU activities do you participate in (or plan to participate in)?

What other activities or hobbies do you participate in?

More Information

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