Mentee Matching Form

Name (required)

School Address (required)

Home Address (required)

Phone Number(required)

Email (required)

Best way to contact you: (required)

1. What would you most like to learn from your mentor?(required)

2. What is your major?(required)

3. What are your Personal goals for this coming school year?(required)

4. What are your strengths?(required)

5. What are your limitations?(required)

6. What are your hobbies and special interest?(required)

7. Is there any additional information you would like to share that would help with the matching process? (required)

8. What qualities are you looking for in a mentor? (required)

9.What qualities would be difficult for you in a mentor? (required)

10. Please complete this sentence. "I would like my Mentor to be..." (required)

11. What are your expectations for your mentor and the program?

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