WrightChoice Virtual Mentoring Program

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WrightChoice Virtual Mentoring Program - Mentee Application

Thank you for your interest in our virtual mentoring program. We promote full inclusion. If selected, this will be an opportunity for you to connect with a mentor currently working in your career of interest. Please complete the application below. Once the applications are reviewed you will receive an email to schedule a brief phone interview or zoom meeting.

Email *

Full name

Address (Summer address) City, State, Zip

Phone number *

Please check all that apply

American Indian or Alaskan native

Asian

Black or African-American

Native Hawaiian or other Pacific Islander

White

Hispanic or Latino

Male

Female

Identify with the LGBTQ community

Other:

Major, Minor (if applicable) and GPA *

Current Status

Sophomore

Junior

Senior

Graduate

Clear selection

College/University *

WrightChoice strongly promotes the inclusion of students with disabilities. If you identify below please share to the extent which you are comfortable.

Please share what accommodations, if any, are needed to fully engage in a virtual mentoring program.

Are you the family member of a person with a disability? (Info needed for our funders)

Yes

Clear selection

What would you like to get out of a career based mentorship? *

I would like to have a mentor in the following areas *

Do you have a person whom you would to be a mentor?

Option 1

Clear selection

Finish the Sentence - When I grow up I want to.... *

List campus organizations, leadership opportunities and/or community service activities.

Please provide links to your social media FB, IG and/or Twitter *

Hobbies/interest *

How did you hear about the program? Please provide the name if someone referred you.

Do you have a resume?

Yes

Clear selection

Submit

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