Black Alumni Mentee Application | Colvard Student Union

Personal Data

Prefix:

* Name:

* Department:

* Title:

* Office Address:

* Email Address:

* Cell Phone Number:

* Office Phone Number:

Experiences and Expectations

Please Be Specific

* Please discuss your previous student mentor experience (if applicable).

* Briefly describe your interests, hobbies, or extracurricular activities.

* Please list any Mentee Preferences that HCDC Program Coordinators should consider when matching.

How many mentees would you be willing to accept?

1 mentee 2 mentees

* How often do you wish to meet with your mentee?

* What availability do you have for your mentee?
Feel free to list office hours if you wish to meet then.

* 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?:

Mentor Obligation

I understand that I must read the HCDC faculty, staff and student mentor Program Handbook in its entirety and abide by the rules, guidelines, and expectation therein.

* Signature: (Please type your name below)