Mentoring Services Request

Full Name

First NameLast Name

Phone Number

Area CodePhone Number

E-mail

Have you submitted an admissions application?

Do you have an educational plan created by a Mid Mentor?

Would you prefer to meet with your Mid Mentor or the first available Mid Mentor?

What days/times would you prefer for an appointment?

How would you like to attend your appointment?

What are you hoping to discuss in your appointment?

Other

Significant effort has been made to ensure this content meets accessibility guidelines. If you encounter a barrier you can report the barrier at midmich.edu/reportaccessibilitybarrier or contact Mentoring at (989) 386-6626 or mentors@midmich.edu.

In its commitment to providing a safe environment, Mid Michigan College actively endeavors to broaden our diversity, promote equal opportunity, and prohibit any form of discrimination in its programs, activities, and conditions of admission or employment. Learn more about these efforts and policies by visiting midmich.edu/eeo, midmich.edu/titleix, midmich.edu/securityreport.