Mentor/Mentee Form
**ALL FIELDS REQUIRED**
Maximum 5 sentences per response.
Full Name:
Email Address:
I will be a:
Mentor
Mentee
Major:
(For joint majors and special programs, select "Other" and explain in the "Interest or expertise" section.)
[Choose your major]
Course 1
Course 2
Course 3
Course 4
Course 5
Course 6
Course 7
Course 8
Course 9
Course 10
Course 11
Course 12
Course 13
Course 14
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Course 17
Course 18
Course 20
Course 21
Course 22
Course 24
Other
How often to you wish to meet with your mentor/mentee?
[----------------------------]
Seldom
Monthly
Weekly
What is your area of interest or expertise?
(Ex. Fluid mechanics, stem cells, android development, etc.)
Describe your favorite activities and hobbies.
(Ex. Basketball, gymnastics, getting coffee, etc.)
What are you most proud of?
Where do you see yourself 5 years from now?
(Ex. Working at Google, graduate school, etc.)
What do you hope to gain from this program?