Graduate/Undergraduate Mentoring - Undergraduate Mentee Application

Graduate/Undergraduate Mentoring Program

In order to best match you with a graduate student mentor who shares similar interests, we ask that you complete the following questionnaire.

Your Information & Interests
First Name*
Last Name*
Email*
School*
Graduation Date*
Field of Study*	If you selected "Other", please specify your field below.
Which graduate program are you interested in learning about?	If you selected "Other", please specify your field below.
Area of Specialization
Intended Career Path (or Job) after Graduation
I describe myself as (check all that apply)	Female Male Intersex Caucasian African American Asian American International Latino/Latina LGBT
Mentoring Preferences
Please rank the following characteristics on which you prefer to be matched.* (1 = most important; 0 = not applicable)	Academic Field Gender Identity International Status Ethnic Identity Sexual Orientation
Tell me more about why you are interested in the program. We want to know what you want out of the program so we know how we can best match you.
How did you learn about the Graduate/Undergraduate Mentoring Program?	Brochure Flyer Email Career Services/Mentoring Event DP Ad DP Article Locust Walk Banner Other (please specify):

Monday-Thursday: 9AM - 8PM
Friday: 9AM - 6PM
Saturday-Sunday: 12PM - 6PM