SDIP

Mentor Pairing Application

Please submit the following application to receive a mentor within our program. We encourage you to be as thorough as possible in your answers the more we know about you, the better we can pair you with a mentor that properly suits your needs and expectations.

Please note: This application may take upwards of 20 minutes to complete.
Please enter the best phone number to reach you.
Preferred Method of Contact
Please select how you would like us to contact you.
Academic Class Level
Academic College
If you have yet to declare a major, please put an area of interest
Are you a first-generation college student?
(i.e. Your parents/guardians did not attend college or graduate school in the United States)
Are you an International Student?
Ethnicity
Please choose all that apply.
Preferred Gender Pronouns
Please list any identifiers you find important for your Mentor to know (i.e. race/ethnicity, cultural background, religion, sexual orientation, gender identity, etc.) Feel free to list as many as you wish, or none at all.
What would you like to explore through this program?
Please check all that apply
I would prefer a mentor who is a first-generation student.
I would prefer a mentor I can identify with.
Comments, concerns, etc.
By submitting this program application, you certify that you understand the program requirements