2025 Mentee Application
We receive many applications for this program, and while we are unable to select everyone, we carefully review each submission. To help us get to know you better, we encourage applicants to submit a resume that highlights qualifications and interests. Your resume can be submitted via the Dropbox at the bottom of the form. If your resume is not readily available, you may still complete the application and submit your resume at a later date. We look forward to learning more about you!
Name
*
First Name
Middle Name
Last Name
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
SIU Email or Preferred Email
*
example@example.com
Phone Number
*
Dawg Tag
*
Student Classification
*
Please Select
Freshman
Sophomore
Junior
Senior
Graduate Student
SIU Major(s)
*
SIU Minor(s)
Are you a first-generation college student?
*
Yes
No
Race/Ethnicity
*
Anticipated graduation month/year:
*
What are your career plans for post-graduation?
*
What are you hoping to gain from this mentorship program?
*
If applicable, please share a previous mentorship experience where you were influenced by a woman in a leadership role, and how this experience impacted you.
Please upload your resume to demonstrate your commitment to being selected for the program and help us get to know you better.
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Date
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