MARQUETTE UNIVERSITY ALUMNI ASSOCIATION
Mentor Program STUDENT-MENTEE APPLICATION

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Full Name  *
College (Arts and Sciences, Communication, Engineering, etc.)  *
Major  *
Grad Year  *
If interested in graduate or professional school, please specify:



Please provide the name of your academic advisor  *
Home City  *
Home State  *
Mobile Phone  *
Marquette Email Address  *
Local Address Line 1  *
Local Address Line 2
Local City  *
Local ZIP  *
Areas of Interest (choose all that apply)















 *
Other Areas of Interest
What geographical location (city and state) would you like to work in after graduation? Please list your first and second choices.  *
Why would you like to be considered as a mentee in the Mentor Program? Two paragraphs maximum.  *
What are your top two goals for your participation in the mentoring program? Goal 1:  *
Goal 2:  *
If selected, are you able to attend the mentor program kickoff from 7:45 a.m. - 9:15 a.m. on Tuesday, Sept. 16?

By checking this box, I hereby authorize Marquette University to release my name, email address, telephone number and/or biography as provided by me to my assigned mentor, even if I have chosen to place a FERPA (Family Educational Rights and Privacy Act) block on my record in CheckMarq.  *


For more information, please contact Dan DeWeerdt at (414) 288-4740 or daniel.deweerdt@marquette.edu.

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