Mentor Application

Name *

First

Last

Phone *

Campus Address *

Email *

Email

Confirm Email

Age *

Gender *

Country of Origin *

Native Language *

Other Languages Spoken *

Have you lived in the US your entire life? *

If you answered no, how long have you been in the US?

What is your class or professional standing? *

What is major/departmental affiliation? *

I would prefer to be matched with *

If you indicated "Other" for question 15, please explain

I would prefer to be matched with a mentee from *

I would like to be paired with *

I can meet with my mentee *

I would prefer to be contacted *

International students use this program to improve English conversational skills, explore campus, and community resources (e.g., grocers stores, restaurants, post offices), learn about U.S. culture and to socialize/meet new people.

If you are interested in mentoring International students, what areas would you be interested in focusing on with your mentee?

Do you have any previous experiences that would make you a strong mentor? *

Is there any additional information that would help us pair you with a mentee? *

Are there any absolute criteria about who you would consider an acceptable mentee? For example, do you HAVE to be matched with someone of the same gender in order to participate?

How did you find out about this program? *

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