1. Default Section

* 1. Please complete the following:

* 2. What is your gender?

* 3. Race/Ethnicity:

* 4. If you selected International Student or Other for the previous question please indicate what country you are from or what race/ethnicity you identify as:

* 5. I plan to live:

* 6. Please rate your academic skills:

  Excellent Pretty Good Okay Need Some Help
Math Skills:
Written Communication Skills:
Oral Communication Skills:
Reading Skills:

* 7. I am at my best in the:

* 8. I consider myself to be:

* 9. Extracurricular activities you plan to be involved in:

* 10. Please comment on how you enjoy spending your free time, anything you are concerned about, or anything you would like your mentor to know about you.

* 11. RSVP for dinner on a Wednesday in early September. Attendance is mandatory in order to establish a good mentoring relationship!