Mentee Application
Mentor U Connect seeks to support the retention and graduation of college students, especially those in STEM, who come from social-economic disadvantaged communities, where these type of social determinants serve as a barrier in their student success.  We seek to provide you with Academic Support, Social Capital and Well-Being.  All your data will be confidential.
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First Name *
Last Name *
Email *
Phone Number *
Gender *
Hometown *
Where will you live during the 2019-20 school year? *
Race: (circle all that apply) *
Required
Nationality/Country of Origin *
Language(s) spoken (other than English) *
Please select only if you are fluent in the language(s).
Required
What school do you attend? *
Major
Are you
Clear selection
What activities are you involved with? (clubs, sports, offices, etc) Which are your hobbies and interests?  What do you like to do for fun? *
What personal qualities you seek in a mentor? *
What does the word "mentor" mean to you *
How frequently would you like to talk with your mentor? *
What you want to get out of this mentorship? *
Required
Describe a challenging family or personal circumstance that has affected your achievement or participation in school, work, or community activities. How did you overcome this challenge and what did you learn from the experience above? *
Submit
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