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"Mentee" Matching Form

One of the benefits of becoming part of the Latino Center for Excellence (LCE) cohort is to be assigned to a mentor and have this individual help you to adjust to the undergraduate student culture.

The mentor is usually a graduate student who shares similar experiences, interests, and challenges. Mentors assist students in many areas and also work closely with LCE staff.

The form below will help us to make a better match for you and your mentor.

 * Required Field

* Last name:

  

* First name:

  

* Undergraduate Program

   

* Graduate Program

  

* Address:

  

* City:

  

* State:

   

* Zip or postal code:

  

* Country:

   

Home phone:

  

Business phone:

  

Cell phone:

  

* E-mail address:

 

* Best way to communicate (select all that apply):

If you selected "Phone" above, best time to call (select all that apply):

If you work, company name and your position:

Company:  Position: 

 

* Credit hours completed at GSU toward bachelor's degree:

 

* Briefly describe your career goals.

 

 

* What do you hope to achieve from the Mentorship Program?

 

 

* I describe myself as:


(Hold down Ctrl key to select more than one.)

 

* I prefer to work with people who are:

(Hold down Ctrl key to select more than one.)

 

What are your objectives for the mentoring relationship?

(Hold down Ctrl key to select more than one.)

 

Please indicate below if matching by gender and/or ethnicity is important in your mentoring relationship. If you have no preference, please leave blank.

I prefer to be paired with:

 

My gender is:

 
I prefer to be paired with someone of my:

 

My ethnicity is: