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MENTORING PROGRAM
:: Mentor Application
Personal Information
First Name *
Last Name *
Panther ID
Which campus do you wish to be affiliated with for the program? *
Modesto Maidique Campus
Biscayne Bay Campus
Engineering Center
Ethnic Background *
American Indian/Alaskan Native
Black/African American
Hispanic/Latino
Asian/Pacific Islander
White
Not of Hispanic Origin
Other/please specify:
Contact Information
Primary E-mail *
Secondary E-mail
Cell Phone *
Alternate Phone
Current Address *
City, State & Zip Code *
Undergraduate Information
Undergraduate College *
Undergraduate Year *
Undergraduate Degrees *
Undergraduate Major *
Graduate Information
Graduate School
Graduate Year
Graduate Degrees
Graduate Major
Career Information
Please choose the college that most closely aligns with your current career path: *
College of Architecture and the Arts
College of Arts and Sciences
College of Business Administration
College of Education
College of Engineering and Computing
Honors College
College of Law
College of Medicine
College of Nursing and Health Sciences
School of Hospitality and Tourism Management
School of Journalism and Mass Communication
Robert Stempel College of Public Health and Social Work
Career Field *
Employer Name *
Employer Address *
City, State & Zip Code *
Title *
Additional Career Information
Matching Information
Where possible match me with a student with the same (check all that apply):
Ethnic background
Major or Career Interest
Have you previously been involved with our Mentoring Program? *
Yes
No
If yes, and you would like to continue with that mentor, please enter their name?
What do you wish to accomplish by participating in this program? *
Describe your areas of professional/personal interest. *
Name one goal you hope to achieve through your involvement in this program. *
Choose from the following list what is important for you to gain in your relationship with your mentee:
Learning how to deal with difficult people
Advice on my major/career
Personal guidance
Developing a friendship
Healthy relationships
Self-Improvement
Time management
Transitioning into college
Study tips/Maintaining your grades
Networking skills
Setting goals
Leadership skills
Getting involved
Important dates for the Mentoring Program
Please note that bolded programs are required for participation.
Orientation Sessions
: September 10, 2009
MMC - GC 305
Mentors: 1 - 2:30pm
Mentees: 3 - 4:30pm
BBC - participant orientation will take place during their meet & greet.
Meet & Greet Gala
: September 29, 2009 at 5:30-8:00pm
MMC - GC Faculty Club
BBC - WUC 245
Women & Finance/Women's Fair: October 13th, at 12:00-2:00pm
MMC - GC 243
Negotiating Skills for Women: November
TBA
Just Desserts Spring Reception
: January 26, 2010 at 5-7:00pm
MMC - MARC Pavilion
BBC - WUC 245
End of the Year Gala:
April 6, 2010 at 5:30-7:00pm
MMC - GC Faculty Club
BBC - WUC 245
I am able to attend the bolded programs required for participation. *
