Home Country:

Program of Study:

Year of Study:

E-Mail:

Gender?

Male     Female

What languages do you speak?

Do you have a preference in terms of your mentor’s gender?

Male     Female    Doesn't Matter

What are some of your hobbies or extra-curricular interests?

Why are you interested in becoming a part of this program?

What personal qualities would you bring to the International Student Mentorship Program?

State briefly the experiences (work, volunteer, life) you have had that you think would be related to the skills needed for an International Student Mentor:

List your extracurricular activities giving the year(s), position/title, and a brief description of your work:

Thank you for your interest in the International Student Mentorship Program!