USIU MENTORSHIP PROGRAM
Mentee Application Form:
A. Personal Information
Please attach a copy of your Student ID to the application.
Name:............................................................................ Gender: Male [ ] Female [ ]
Email Address:..................................................................................................................................................
Academic Major:................................................................................................................................................
Telephone Number(s)........................................................................................................................................
Availability: (When can you start?) ..................................................................................................................
Experience and Perspectives
Answer the following questions honestly and in as much detail as possible. You can write your responses in essay form on a separate piece of paper or immediately after each question.
1). Why do you want to have a mentor?
2). What are your personal views on the role of a mentee-mentor relationship?
3). What do you hope to gain from your mentoring experience?
4). Please list and describe the specific skills or attributes you expect a mentor to have.
5).USIU Student Mentees are expected to go the extra mile and make an ongoing time and energy commitment to the progra. They must undertake to attend an on-boarding/induction session, complete regular progress reports, commit to the program expectations, follow guidelines stipulated by the University attend small group and other meetings. How will these expectations fit with your priorities and time commitments in the foreseeable future?
6). What specific professional and/or personal goals do you hope to accomplish through your involvement in the USIU Student Mentoring program?
7). Which of the following areas of professional and/or life skills would be of greatest interest for you to participate in?
1. Life Skills in:
Self management
-Personality insights
-Managing academic – life balance
-Values and attitude insights
-Motivation
-Moods and emotions insights
-Decision making insights
Working with others
-Leadership and team skills
- communication skills
-conflict management
Careers
- career planning and development
- Job search skills
- Others: (please specify) ....................................................................................................................
2. Professional skills in:
a) Administration
b) Finance
c) ICT
d) Media
e) Human Resource Management
f) Project Management
g) Humanitarian work
h) Others: (please specify) ..................................................................................................................
9) Would you be willing to be in group sessions where more than one mentee can attend? Yes [ ] No [ ]
Please attach a copy of your CV or professional portfolio
Attachments:
1. USIU Mentorship program guidelines & expectations
2. Progress Report Form
3. Commitment/acceptance form
4. Mentee Code of conduct Form