Honors Alumni Mentee Application Form

Personal

First name:

Preferred first name:

Last name:

UDID:

Home address:

City:

State

Zip Code

High School

Preferred phone

Preferred e-mail

Skype username:

Education

Expected Graduation Year

UD GPA

Major(s)

Minor(s)

UD Clubs/Activities

Community Activities

Short Answer Questions

What might you want to pursue post graduation?

Why are you interested in the Alumni Mentor Program?

What topics are you interested in discussing with an alumni mentor?

Faculty or Staff Reference:

Name, Department, Email, Phone:

Additional Comments

Agreement

I am committed to being an Honors Mentee for a full academic year (October/November through May) and agree to communicate with my mentor at least once a month during this time period. I will complete the Mentoring Agreement with my mentor and participate in the orientation session prior to the start of the program.

Initials/Date

Honors Alumni Mentoring Program

Contact Information:
Phone: 302-831-1195
E-mail: honorsmentors@udel.edu

Program Coordinators:
Christine Yang Schultz
Associate Director,
'00 MEd '06EdD
Phone: 302-831-1195

Kelsey Cummings
Administrative Assistant
Honors Alum '09
Phone: 302-831-1195

  • Honors Program  •   186 South College Avenue  •   Newark, DE 19716  •   USA
    Phone: (302) 831-1195  •   Fax: (302) 831-4194  •   © 2010