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* 1. Please let us know a bit about you:

2. During the 2012-13 Academic Year, during which semester will you have an internship? Please check both Fall and Spring, if applicable.

3. Fall Interns: Please tell us a bit about your upcoming internship opportunity:

4. Spring Interns: Please tell us a bit about your internship plans (if same as Fall, please write 'same'):

5. Please tell us about the clubs and organizations that you are involved with on and off campus:

* 6. If you are selected to participate in the Siena College School of Liberal Arts Mentors Program, what are your goals for the year (please limit your response to 250 words or less)?

* 7. If you are selected to participate in the Siena College School of Liberal Arts Mentors Program, what are your expectations of your mentor (please limit your response to 250 words or less)?

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