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Graduate/Undergraduate
Mentoring Program:
Undergraduate Match-Up Form

Please feel free to sign up for the Mentoring Program, but note that new matches will not be made until Fall 2007

In order to best match you with a graduate student of similar interests, we ask that you complete the brief survey below. Thanks!

First Name:
Last Name:
Email Address:
What is your gender?
*optional 		 Male
 Female
What is your current major?
What is your anticipated graduation date?
What extracurricular or co-curricular activities are you involved in?

What's the greatest source of distress for you when considering graduate or professional school?
What career or type of job do you hope to pursue upon graduating from Penn?
What are you hoping to gain from your mentor?
How would you describe yourself (check all that apply)
*optional 		Asian American
African American
Latino/Latina
An international student
An LGBT student
Other (please specify):
Are you interested in being mentored by someone who is:
*optional 		Asian American
African American
Latino/Latina
An international student
An LGBT student
Female
Male
Other (please specify):
Which graduate program are you interested in learning about?

Area of specialization:
Based on which primary characteristic would you prefer to be matched with your mentor:
*Please note that preferences will be met based on availability.
 Academic field of interest
Gender
Race
Sexual Orientation
International status
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):

We welcome your insight and questions. Please do not hesitate to contact the Grad Center Mentoring Fellow.

“This program is very helpful in general; I think because of their similarities in age and experience to us, grad students are some of the best resources to help talk ideas over with. They are young enough to remember the struggle to decide on a plan of action after graduation and usually experienced enough to relate how the workforce compares with graduate school. One of the best things Imogen did for me was to suggest very specific actions I could take to enhance the possibility of getting into my ideal graduate school. This overall experience has been fantastic, and I would recommend it to any senior.” ~Liz Thomas (English and Urban Studies undergraduate)