Student Life Mentor Application

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* 1. Personal Information

First Name

Last Name

Student ID

Student Email Address

Phone Number

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* 2. Academic information

Major/Area of Study

Term of expected Graduation/Transfer

Number of Terms attended at KCC (include the current term)

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* 3. Tell us a little bit about yourself and why you are interested in joining Student Life?

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* 4. What are your strengths and weakness? How do those apply in a group setting?

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* 5. Can you describe a time when you anticipated a problem in advance and took steps to stop it from becoming an issue?

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* 6. Did you apply for FASFA for the current academic year?

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* 7. If you have any other commitments that may conflict with your availability other than your classes please list them below including dates. (Please Include any other jobs)

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* 8. Upload Your Resume

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* 9. I hereby submit my application and give permission to the office of student life to request my current course schedule and GPA from Klamath Community College to verify my eligibility requirements I certify that the above facts are true to the best of my knowledge.
Please sign in the text box with your name and student ID number.