Faculty Mentor Sign-Up Form
Please provide the following information:
Are you a freshman?
No (please specify your academic standing)
Are you living in a Residential Hall?
Do you belong to a FIG or Learning Community?
Have you declared your major yet?
Yes (please indicate)
No (please list your areas of interest)
What do you hope to gain from a Mentor?
Which is your preferred method of contact?
Phone call (please provide your number below): xxx-xxx-xxxx
Once you are assigned to a Faculty Mentor, we would like to share your name and contact information with that individual. No other information about you will be shared. This will allow the mentor to reach out to you for an initial meeting. Do you give us permission to share only your name and contact information?
Thank you for your interest in the Faculty Mentor Program. Please allow us some time to review your application and we will be in touch soon
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