Mentee Profile

Name *

First

Last

JALC ID # *

JALC Student Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Date of Birth *

Number of semesters at JALC *

Are you an International Student? *

Are you a TRIO Student? *

Major *

Sex *

Enrollment Status *

Do you receive financial aid? *

Are you a first generation college student? (A first generation college student is the first in his/her family (mother, father, siblings) to complete a college education) *

What are some of your hobbies or personal interests? *

What are your academic and personal goals? *

Please answer the following questions fully and honestly. There is no right or wrong answers. The purpose of gathering this information is to have a basis for matching you with a mentor.

1. List the classes you are taking this semester *

2. Which classes do you do well in? *

3. What extracurricular activities do you participate in? *

4. Do you currently work on campus or off-campus or both? *

5. Hours of employment *

6. I want tutoring in (check) *

7. From 0-100, 0 being “no knowledge” and 100 being “fully knowledgeable”, please rank yourself.

a. Ethnic Identity *

b. Learning Skills *

c. Knowledge of College *

d. Financial Literacy *

e. Self-Support *

f. Support from Others *

g. Leadership Skills *

8. What qualities, characteristics, and skills does a mentor need to have to connect with you? *

9. When are you available to meet with your mentor on campus? *

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