Graduate/Undergraduate Mentoring - Graduate Mentor Application

Graduate/Undergraduate Mentoring Program

In order to best match you with an undergraduate who shares similar interests, we ask that you complete the following questionnaire.

Your Information & Interests
First Name*
Last Name*
Email*
Field of Study*	If you selected "Other", please specify your field below.
Area of Specialization
Expected Graduation Date*
Expected Degree
Intended Career Path (or Job) after Graduation
Your Undergraduate Major
I describe myself as (check all that apply)	Female Male Intersex Caucasion African American Asian American International Latino/Latina LGBT
Mentoring Preferences
BETA TEST! Please answer the question below. Please rank the following mentee matching characteristics. (1 = most important; 0 = not applicable)	Academic Field Gender Identity International Status Ethnic Identity Sexual Orientation
I prefer to mentor a student who studies

Monday - Thursday:
9:00 AM - 9:00 PM
Friday: 9:00 AM - 6:00 PM
Sat & Sun: 12 Noon - 6:00 PM