Each One Reach One Mentoring Program Mentor Application Center for Black Culture University of Delaware
days left to apply to be a Mentor for the 2010-2011 Academic year.
* indicates required field
* Name:
* Gender: Male Female
* UD ID #: * Race/Ethnicity:
Summer Mailing Address: * Street:
* City: * State: * Zip:
* Home phone: * Cell phone:
* UD e-mail:
* Major: * Classification: (as of Fall 2011)
*Do you plan on changing your major?: YES NO
If YES, What will be your new major:
* Cum. GPA:
* Have you participated in the EORO program before? YES NO
If yes, please check all that apply: Mentee Mentor Mentor Coordinator.
* Pleased describe any previous mentoring experience:
* Are you currently employed? YES NO
If yes, how many hours a week?
* Please list the campus activities and organizations that you are involved in:
* Briefly, describe your background, personal interests and hobbies/interests outside of the University of Delaware. Also, discuss your expectation of the mentor experience.
* Please check all the skills that you would be able to give your mentee:
Academic Support Time Management Social Support Campus Resource Other (Special Skill) (please specify)
* I am willing to mentor two students. YES NO
* Please rank your preferences for mentee selection:
Male Female Same Major Same Hobbies Same Hometown Other(s): No Preference
I agree, if accepted as an Each One Reach One Mentor, to assume the role of a mentor to the best of my ability. I will be committed to encouraging personal growth in my mentee and strengthening community with my participation in campus activities. Furthermore I permit the Center for Black Culture to gather information regarding my academic progress.
* I AGREE * Date
MANDITORY Mentor Training - Date: 08/27/2011 *** Apply only if you CAN attend Mentor Training***
*** Apply only if you CAN attend Mentor Training***
