MENTORSHIP PROGRAM APPLICATION

Please complete ALL sections of the application form including the short essay section and read the terms and conditions section carefully prior to submitting your application to (link here). ALL APPLICATIONS NEED TO BE SUBMITTED BY OCTOBER 14, 2013 IN ORDER TO BE SELECTED FOR THIS YEARS MENTORSHIP PROGRAM. All accepted students will be notified on or before October 21, 2013.
All items with an * need to be completed in order for your application to be processed. Also, be sure to use proper spelling, capitalization, and punctuation when completing the Personal Information section of the application as all correspondences and awards/certificates will be generated from this section.
Personal Information
First Name: * / Last Name: *
Student ID Number: *
(e.g. 11011011) / Major/Minor: *
When did you start here at UHH: *
(e.g. 00/00/0000) / SemesterFallSpringSummer / Year201320142015201620172018201920202021202220232024202520262027202820292030203120322033203420352036
Email Address: *
What are your interests and hobbies?
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In 1-2 paragraphs clearly state the reason why you want to become a part of this mentorship program? and what are the things you are looking for in a mentor ?
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Terms and Conditions
By completing the above application form you are agreeing to participate in ALL of following events/dates:
Speed Mentoring Match October 24, 2013 5pm-7pm / UH Hilo (Bldg./Room to be determined)
Face-to-Face Meeting with Mentor (1 per semester) / Location: To be determined by student and mentor
Speed Mentoring Program Finale in May 2014 / Location: UH Hilo (Bldg./Room to be determined)
As well as, completing a Pre-Evaluation Questionnaire at the Speed Mentoring Program and a Post-Evaluation
Questionnaire at the Speed Mentoring Program Finale. If you are unable to complete these terms and conditions our staff will do our best to aide you in completing them. However, if you still are unable to adequately complete the above requirements after our help you will be removed from the program and replaced with someone on our waitlist. You will be able to re-apply to the Speed Mentoring Program only after meeting with one of our staff to ensure you are fit for the program.
I have read the above Terms and Conditions and understand their requirements and agree to abide by
them until the end of the program. *
Type Your Name Here to Stand as Your Signature / Date

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