Mentor Belton Application

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What is your name?* This field is required.
First Name
Last Name
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What is your email address?* This field is required.
example@example.com
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What is your cell phone number?* This field is required.
Area Code
Phone Number
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Your gender?* This field is required.
Male
Female
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What is your ethnicity?(Optional. The Belton Area Chamber of Commerce seeks to reflect the diversity of the community in its programs, officers, and committees. The following question may be answered at the discretion of the applicant.)
African-American
Asian/Pacific Islander
Caucasian
Hispanic/Latino
Mixed Race
Native American
Other
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Career Interests/Ambitions: List 2 job titles of career professionals you'd like to be paired with in order of preference.* This field is required.We try to match you with your first choice, but both choices should be of interest as you may be paired with your second choice.
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What is your current classification?* This field is required.
Sophomore
Junior
Senior
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What is your major?* This field is required.
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What is your minor?Skip if not applicable.
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When is your expected graduation date?* This field is required.(Semester and Year)
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What do you want to do with your degree?* This field is required.List the type of job and industry you plan to enter upon graduation.
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Describe the primary motivating factor for your application to this program. What do you hope to gain from this program at this point in your education? How do you plan to use any newly acquired knowledge and skills in school and beyond?* This field is required.
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Applicants must submit one letter of recommendation in support of their applications. This letter should be submitted in Word format via email to dowens@umhb.edu and must be sent from the email account of the person making the recommendation (listed below).
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Who is recommending you?* This field is required.
First Name
Last Name
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What is their relationship to you?* This field is required.
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Upload your resume here.* This field is required.Please upload in a PDF or Word Document format.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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How did you hear about Mentor Belton Program?* This field is required.(Check all that apply)
UMHB Career Center
A friend on campus
Another University Source
Other
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I commit that as of as of the start of this year's Mentor Belton Program...

I will be 18 years of age or older

I will be a registered student

I will be a Sophomore, Junior or Senior

If selected…

I will fully participate in the Mentor Belton Program

I will attend all scheduled mentor sessions to be set up with my mentor

I will attend the kickoff in February and the graduation ceremony at the end of April

I will arrive on time for each program and will be in attendance for its entirety

If you are worried about your ability to participate in this program and meet the time commitment requirements please contact Career Services at (254) 295-4691 or careerservices@umhb.edu.

By submitting this application, I affirm that the information in the above application is true and correct to the best of my knowledge.
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Signature* This field is required.
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