Full Circle Professional Mentoring Program Student Signup

Name

Campus Box Number (if assigned)

Summer/Permanent Address

Stephens Email Address

Cell Phone Number

Best way to contact you

Meeting Preferences (with Mentor)

Birthday

Major

Minor

Class Standing (Fall of 2013)
Senior
Junior
Sophomore

Graduation Date

GPA

Professional Internship/Job Experience

Campus and Community Activities

Professional Aspirations

Plans after graduation


Ideally, where would you like to live after graduation?


Hobbies


The Full Circle Program Committee will do their best to match you with a mentor with similar career interest. However, if they are not able to make a career match, would you still like to participate in the program? Please check yes or no below.  

Yes
No

You must have a faculty recommendation as part of the application process. Please enter the email address of the faculty member you would like to send a request to complete a recommendation on your behalf.

It is the student’s responsibility to follow-up with that faculty member to ensure they can fulfill the request and submit the completed recommendation form by the application deadline (February 15, 2012).

Please answer the following questions.

1. Why do you want to join the Full Circle Professional Mentoring Program?
   
2. Have you participated in the Full Circle Professional Mentoring Program before? If so when?
   
3. What does it mean to be in a mentor/mentee relationship? What would you like to discuss with a mentor?
   
4. Give an example of how your involvement in one organization or activity (student organization, work experience or community activity) made a difference to that program or organization and how you demonstrated leadership.
   
5. Will you be able to attend all program meetings and fulfill all communications requirements?