Black Alumni Mentee Application | Colvard Student Union

Personal Data

* Name:

* Classification:

* Major:

Preferred Gender Pronouns:

he/him/his she/her/hers they/them/theirs

Gender preference for Mentor:

Male Female No Preference Other:

* Race/Ethnicity:

* Date of Birth:

* Cell Phone Number:

* Email Address:

* Food Allergies:

Goals

Please Be Specific

* What do you hope to gain while in the mentoring program?

* What do you feel will be the most difficult aspect in your adjustment to college life?

* What attributes of a mentor are you looking for?

* What are your career aspirations?

* What student organizations are you interested in joining or participating in at MSU?

* Briefly describe your personality.

* Please list your personal and academic goals?

Please select all of the characteristics that are most important to you when matching you with a peer mentor.

How often do you wish to meet with your mentor?

Any additional information?

* Due to the circumstances surrounding Covid-19, we understand that not everyone will be able to or would like to meet in person. What method of communication/meetings would you prefer with your mentee/mentor?:

Mentee Obligation

A commitment to entering the mentor and mentee relationship and taking an active role in my academic and social success.
Give the Holmes Cultural Diversity Center permission to check my grades and academic progress of the course of the year.
Commit to communication with my Mentor one (1) time per month, and attending required HCDC faculty, staff and student Mixer Event.
Complete monthly evaluations/surveys on my experience and participate in an end of the year assessment of the program.
Give the Holmes Cultural Diversity Center consent to capture and disseminate photographs for promotional purposes, events, and/or activities.
Attend mandatory meetings with the Program Coordinator.

* Signature: (Please type your name below)