Mentee Application
Fill out this form if you are interested having a mentor.
Contact Information
Full Name:
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First Name
Last Name
Phone Number:
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-
Area Code
Phone Number
Email:
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Best way to contact me:
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Text
Email
Both
Class of:
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Major:
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Campus Activities:
Hometown:
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Please provide a digital picture of yourself (and your family, if you would like)
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Upload Photo
This will be shared with your mentor prior to your first meeting.
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Mentor Qualities
What you are looking for in a mentor:
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Please arrange & rank the following 1-4 by importance, by draging the items on the list:
Job
What career(s) are you pursuing or interested in (please be detailed):
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Religious Affiliation
Church Membership:
Denomination or Affiliation you most closely identify with:
Interests
Pick a few of the hobbies you enjoy doing and write why:
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A few words about my family:
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What career(s) are you pursuing or interested in (please be detailed):
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What denomination or affiliation do you most closely identify with?
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Mark all hobbies, providing more details below:
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Watching TV
Crafts
Sports
Reading
Traveling
Video Games
Music
Computers/Web
Ministry
Outdoor Activities
Watching TV:
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Crafts:
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Sports:
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Reading:
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Traveling:
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Video Games:
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Music:
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Computers/Web:
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Ministry:
*
Outdoor Activities:
*
Personality
How would a close friend describe you?
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What are you looking for in a mentor (mark all that apply)?
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Outgoing
Reserved
Social
Busy
Listener
Talkative
Passive
Active
Bold
Balanced
Quiet
Friendly
Family-oriented
Generous
Willing
Initiating
Other
How would you like to grow personally, professionally, spiritually?
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What would you like to get from the mentor/mentee partnership?
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What expectations do you have for your mentor?
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What’s something that sets you apart from most people?
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Is there anything you would like to add?
How do you describe yourself (mark all that apply)?
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Outgoing
Reserved
Social
Busy
Listener
Talkative
Passive
Active
Bold
Balanced
Quiet
Friendly
Family-oriented
Generous
Willing
Initiating
Other
Other important qualities:
Please List
Submit
Should be Empty: