Mentorship Program Application
Deadline: Friday, September 20 (by midnight)
Name
*
E-mail Address
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Local Address for 2013-2014 school year
*
Hometown/State
*
High School
*
College:
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Please Select
Human Ecology
Agriculture and Life Science
Arts and Science
Engineering
ILR
Architecture, Art, and Planning
Hotel Administration
Major:
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Year as of August 2013
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Freshman
Sophomore
Junior
Senior
Entered Cornell as a:
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Freshman
Transfer
Are you pre-med?
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Yes
No
Not Sure
Would prefer (for a mentee):
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Male
Female
Does Not Matter
Interests/Hobbies
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Cornell Extracurricular Activities
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Career Goals
*
How many hours can you dedicate per week?
Please type your answers to the following questions in less than 250 words (about 1 paragraph):
1. Why do you want to be a PATCH mentor?
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0/250
2. What would you like to get out of this experience?
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0/250
3. What do you think is the best advice you can give to a freshman?
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0/250
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