Each One Reach One Mentoring Program
Mentee Application
Center for Black Culture,   University of Delaware

Application Due: Friday, July 25, 2014

    days left to apply to be a Mentee for 2014-2015

 

   *  required fields

* Name:   

Mailing Address:    

* Street:  

* City:   

* State: *  Zip:

* Home phone:  

* Cell phone:

* E-mail:  

* Major:

* Date of Birth

* Race/Ethnicity:

*Please check those that apply:
FRESHMAN TRANSFER   FEMALE MALE

*My Hobbies include:

*Is there any specific information about yourself that would help us
in matching you with a mentor?

* Please rank your preferences for mentor pairing:

* T-Shirt Size:   S      M     L      XL   2XL   

 *

 

 

Please return form to:


THE CENTER FOR BLACK CULTURE
192 S. COLLEGE AVE.
NEWARK, DE 19716

ATTN: EACH ONE REACH ONE PROGRAM MANAGER

Deadline to return this application is Friday, July 25, 2014

Any questions or concerns about the program should be addressed to

the Program Manager at the Center for Black Culture at (302) 831-2991.