Peer Mentor Application
Applicant Information
Full Name
Student ID
Student Email
Phone
Address
Ethnicity
Date of Birth
Classification at BHSU
Please select...
Freshman
Sophomore
Junior
Senior
Graduate Student
Other
Why do you want to be a mentor?
Have you ever been a mentor before?
Yes
No
Have you ever had a mentor here or otherwise?
Yes
No
What is a piece of advice you would give yourself when you were a freshman?
Favorite Activities/Hobbies
Are you involved in other organizations on campus?
Yes
No
Please list any involvement
Education
Are you a full-time student?
Yes
No
What is your major/minor?
GPA:
When do you plan to graduate?
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