mentorApplication .pdf

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Original filename: mentorApplication.pdf
Title: Microsoft Word - Freshmen Mentoring Application_00.docx
Author: Anita Ting

This PDF 1.3 document has been generated by Word / Mac OS X 10.8.2 Quartz PDFContext, and has been sent on pdf-archive.com on 05/11/2013 at 18:09, from IP address 144.118.x.x. The current document download page has been viewed 465 times.
File size: 156 KB (2 pages).
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FRESHMEN&MENTORING&PROGRAM&
!

Basic&Information&&
Name:&________________________________________&
Major:&________________________________________&
Graduation&Year:&________________________________&
Email:&_________________________________________&&&&&&&&Telephone:&_________________________&&
Class&Status:&&&&
!!
Freshmen!!

!

Sophomore!!

!

Pre-Junior!

Program:&&

&

4yr/!1!Co-op&&

&

5yr/!3Co-op!

National&Member:!!

!

Yes!!

!

No!!

CoBop&Cycle:&& &

&

Fall/Winter!

!

Spring/Summer&&

&

!

Other&Degrees/Career&Interests&
&&&
Minor:!!_________________________________________!
!
Bs/Ms:!_________________________________________!
!
Pre-Med/Pre-Health:!______________________________!
!
Others:!_________________________________________&

!

Junior!! !!

&

&
Jobs&and&Networks&








1st&CoBop&&
Company’s!Name:!!___________________________________________!
Position:!!___________________________________________________!
2nd&CoBop&&
Company’s!Name:!!___________________________________________!
Position:!!___________________________________________________!
3rd&&CoBop&&
Company’s!Name:!!___________________________________________!
Position:!!___________________________________________________!
Other&Research&project&(this!includes!STAR!program!and!summer!internship)!
Project:!_____________________________________________________!
Department:!!_________________________________________________!
Position:!!____________________________________________________!
On-campus/Off-campus:!________________________________________!

Senior!!

!

Special&Interests&and&Achievements&
Study&Abroad:!! !
Yes!! !
!
No!
Country/University:!____________________________________________________!
Year:!________________________________________________________________!!
!
CoBop&Abroad:!!!
Yes!! !
!
No!
Country/Company:!____________________________________________________!!
Year:!________________________________________________________________!
!!
Career&interest:&&
_____________________________________________________________________________________
_____________________________________________________________________________________&
&
Involvement&in&campus&activities&and&other&organizations:&
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________&
&
Other&Interests/Hobbies:&
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________&
!
!
!


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