Student Application for Mentorship Program Student Name

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Student Application for Mentorship Program
College of Social and Behavioral Sciences Advisory Board
Student Name: Click here to enter text.
Tech ID Number: Click here to enter text.
Email: Click here to enter text.
Address: Click here to enter text.
Phone: Click here to enter text.
Year of Study: Click here to enter text.
Major(s): Click here to enter text.
Minor(s): Click here to enter text.
Number of Credits Completed: Click here to enter text.
Number of Credits Completed in Major: Click here to enter text.
Career Interest(s): Click here to enter text.
Distance Willing to Travel to Meet with Mentor: Click here to enter text.
What I am looking for in a Mentor (100 words or less): Click here to enter text.
Submit completed application, resume, and cover letter to [email protected] A member of the College of
Social and Behavioral Sciences Advisory Board will be in contact with you to discuss your interest in the
program following your application.
A member of the Minnesota State Colleges and Universities System and an Affirmative Action/Equal Opportunity University. This document is
available in alternative format to individuals with disabilities by calling College of Social and Behavioral Sciences at 507-389-5699 (V), 800627-3529 or 711 (MRS/TTY).
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