Mentee Application Form


Name
Email
May we contact you by email (event reminders, etc.)? Yes No

Mentor Choices

First Choice
Second Choice

Contact Information (Home)

Address
City
State
Zip
Phone

Contact Information (Work/Campus)

Address
City
State
Zip
Phone

Other information


Other Undergraduate Clubs, Activities or Affiliations:

Graduate School Affiliation (if any)

Graduate SchoolYear
Graduate SchoolYear
Graduate SchoolYear

Career Information

Profession
Specialty

Please answer the following questions completely. Your answer to each question should be between 100-125 words in length.

Please describe your particular career interests or fields that you would like to explore. Please be specific.


What are your expectations for this mentorship? Your answers will help you and your mentor develop a good and satisfying relationship.


How important is it for you to be able to talk about personal (i.e. career and family/personal life balance) as well as professional issues with your mentor? What kind of issues are most important to explore?


Briefly answer the following:

How would you like to primarily communicate with your mentor? (E-mail, phone, in person). If in person, how frequently, and at what times, would you be able to meet with your mentor? What, if any, scheduling constraints do you foresee? Would you like to meet during the academic year, the summer or both?


Please choose the option below which best describes how often you anticipate meeting or communicating with your mentor through email or phone calls during the upcoming year. This will serve as a guide for the mentor's expectations for the mentor's time commitment.
Two or more in-person meetings per semester; phone call or email once per month
One in-person meeting per semester; phone call or email every other month
Zero to one in-person meetings per year; phone calls or emails on as-needed basis

Would you like to visit your mentor's workplace? Yes No
Would you like to visit your mentor's home? Yes No
What are the best times for you to meet? Indicate the times you prefer:
Weekday Morning Weekday Afternoon Weekday Evening
Weekend Morning Weekend Afternoon Weekend Evening

Please indicate any specific requests or requirements you may have regarding your involvement in the program (i.e. limited hours available, available only during working hours):


Please describe your job (if applicable). Be as specific as you can; include title, areas of expertise, and describe your work environment. (Please use additional paper, if necessary.)


Describe any pertinent information about your career and job history (if applicable).


Describe any special interests you would like to share. For example: family life; ethnic, cultural, social, athletic, artistic, philosophical, religious, and political interests; hobbies; volunteer activities or other).


Describe how you became a Christian and the status of your relationship with Jesus Christ and His Church:


Need to return and finish at a later date? Assign a name to this draft of your application and, instead of being submitted, your application will be saved to be finished later. Make sure you remember the name you pick! (You must use a NEW name every time you save a draft.)