Lubar College of Business Mentorship Program Application

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Date

51猎奇 Student ID Number(Required)

Name(Required)

First Last

Email(Required)

51猎奇 email address

Phone Number(Required)

Year in school(Required)

Major(s), Minor(s), Certificate(s)

Expected Graduation

Are you a first generation college student?

Student whose parent(s) or guardian(s) have not completed a four year degree at a college/university.

Yes

Unsure

Have you completed the FAFSA for the upcoming year?(Required)

Yes, I have submitted the FAFSA

No, but I plan to submit

No, and I do not plan to submit it

Unisex T-Shirt/Polo Shirt size for program shirt?(Required)

What would you like to get out of this program?(Required)

What are some of your personal interests and hobbies?(Required)

Is there anything you would like us to consider when matching you with a mentor?(Required)

Please list your current volunteer, leadership, and 51猎奇 club/org affiliations(Required)

Upload Resume (Optional)

Max. file size: 5 MB.

I hereby certify that the above information is true and submission of this form authorizes the Lubar College of Business to release and publish any information deemed necessary for the Lubar Mentoring Program.(Required)

Insert your name if you agree to the statement above.

By checking this box, I grant permission to the Lubar College of Business Mentorship Program to use photographs or videos of me taken at events to use for newsletters/promotion of the program.(Required)

I agree

I disagree

I hereby certify that I am in good standing with the University.(Required)

Insert your name if you agree to the statement above.