Name:

Mount A e-mail:

Alternate e-mail:

Home country:

Program of study:

Year of study:

Gender:

What languages do you speak?
 
 
 Do you have a preference in terms of your mentor's gender?

          

Activities and hobbies
Please rank the following list from 1-13 in terms of your preferences (1 being your favourite thing to do and 13 being your least favourite.)

Note: if there is something you are interested in that is not on the list, please include "other" in your ranking (1-14) and specify the activity/hobby in the space provided.
  

Fitness (going to the gym/running/exercise)
Arts/crafts
Music (listening/singing/playing an instrument)
Cooking/baking
Participating in clubs/societies
Chapel/church
Anime/manga
Hiking/camping
Computer gaming
Shopping
Nightlife (bar/pub/parties)
Watching TV/movies/Netflix
Sports (watching/playing)
Other



Please provide more specific information about your hobbies, interests, and extracurricular activities: 

 
  

What activities would you like to do with your mentor?

  
  

How would you describe yourself in five sentences?

 
  

What qualities would you like in a mentor?