Contact Information

Congratulations! You're about to take the first step towards becoming an important part of a family of mentors and mentees at Millersville University. This application will not take long, but REMEMBER... the more information you provide the better we will be able to match you.

NOTE: If you see an asterisk ( * ) before a question, it means an answer is required.

* 1. Please provide us with your contact information:

* 2. Check any and all programs in which you are interested.
If you're not sure, that's okay! Select "Other/Not Sure" and leave a comment.

* 3. Check ANY and ALL ways you are interested in participating in mentoring during the 2014-2015 academic year:

* 4. Select the one option that BEST describes you:

* 5. MU Students Only: What is your current class level?

* 6. MU Students ONLY: What are your programs of study? (Leave field blank if not applicable.)

* 7. MU Students ONLY: What semester do you expect to graduate? (Example: Fall 2016)

* 8. MU Students ONLY: Did you transfer to Millersville from another college? ("Yes" or "No")

* 9. MU Students ONLY: What is your current overall GPA? (Example: "2.95" or "None" if you are a new student at Millersville)

* 10. STUDENTS: Use this space to describe your career interests or academic goals. Where do you envision yourself in five or ten years? ALUMNI, FACULTY/STAFF, PROFESSIONAL MENTORS: Briefly describe your professional and educational background and experience. What do you consider to be your areas of expertise?

* 11. Briefly describe your hobbies and interests. What is important to you? What do you find fun or relaxing?

* 12. What are you looking for in a mentoring partnership?

* 13. Use this space to tell us anything else about yourself that you think would help us in matching you with a mentor or mentee.

* 14. If you would like to suggest a person with whom you would like to be matched, please provide their name and how you know this person.

* 15. How did you hear about the mentoring program?

* 16. All new mentors and mentees must attend a training workshop before being matched. Please list three times throughout the week that you would be available for our 2 hour training workshop.

Attending one of these sessions is the best and most fun way to get trained, and if you attended before, we encourage you to attend again... you will MEET new people (maybe even a possible mentor or mentee!), you're bound to learn something NEW, and we LOVE when experienced mentors and mentees provide personal input at the trainings!!

* 17. If you have any other comments, suggestions, or questions, please provide them here.

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