Apply to be a Protégé

Office of Multicultural Student Affairs » Services » Apply to be a Protégé

All requests for meeting space in the OMSA office must be submitted no less than 5 working days prior to the meeting. Only requests accompanied by a "Denial of Space" form from the University Student Commons Events and Reservations Office will be accepted.

Contact Information

Name
Campus Address
City, State, ZIP
Local Phone
Cell Phone
E-mail Address
Ethnicity
Gender
Major
Classification

Mentor Preferences

Please indicate your preferences regarding potential mentors.

Gender	Same	No Preference
Career Interest	Same	No Preference
Ethnicity	Same	No Preference	Other
		If other, specify:

Additional Questions

Briefly explain why you are interested in participating in a mentoring program.

Briefly describe your ideal mentor.

Briefly describe your interests.

Introduce yourself to a future mentor. Share your past experiences, college goals, future plans and/or expectations of a mentor/protégé relationship.

Apply to be a Protégé

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