Peer Mentee Application
APPLICANT INFORMATION
First Name
MI
Last Name
Student ID
Street Address - Apt/Unit #
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip Code
Phone
Student Email
DATE OF BIRTH
Month
Please select...
January
February
March
April
May
June
July
August
September
October
November
December
Day
Year
Classification at BHSU
Freshman
Sophomore
Junior
Senior
Why are you applying for a mentor?
Are you a first-generation college student?
YES
NO
Do you plan to earn a 4-year degree at BHSU?
YES
NO
Are you interested in pursuing an internship in the future?
YES
NO
Have you ever had a mentor at BHSU or any other institution?
YES
NO
What is your major(s)/minor?
Favorite Activities/Hobbies?
What are you most nervous about this semester?
What are you most excited for at BHSU?
Are there any clubs you would be interested in joining?
EDUCATION
High School
City/State
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge. I authorize the career development department to access my financial and academic records at BHSU and any other institutions I have attended. I authorize any photos taken at events or with mentors to be used in promotional materials.
Certify
Signature
Date
Contact Information