Become a Mentor!! LBSA Mentorship Program Application Spring 2018
The LBSA Mentorship Program is one of LBSA’s most powerful resources for incoming members. Mentors coach, teach, advise, and guide their mentees in the interest of supporting, challenging and inspiring them; and mentees proactively initiate, investigate, and learn in the interest of their own future within LBSA and beyond. Although participation is greatly encouraged, joining the program is totally voluntary for both mentors and mentees. The when, where and what of meetings between a mentor and mentee are to be worked out by each pair. However, the Executive Committee’s Mentorship Chair will guide you through the process, as well as create fun events and activities!

Please fill out this application by Sunday, February 18th at 11:59 pm. For any questions or additional information, please contact: Ana Cano-Garcia, Executive Administrator, at

-If you already have mentee(s), then there's no need for you to fill out the application, UNLESS you want to get a new one, add an additional 1-2 mentees, or would like to change one. If you choose to do so, please state below in the Additional Comments.

Full Name: *
Your answer
Graduation Year: *
Expected Date of Graduation of previous year: *
Email to Contact: *
Your answer
Major/Minor (Intended or Declared) *
Your answer
Would you like to take more than 1 mentee? *
Special Mentee Request? (Optional)
Your answer
Additional Comments:
Your answer
Career Interest: *
Please check the boxes next to the industries of interest or that you have experience in.
How would you describe yourself? (5 sentences max) *
Your answer
How do you plan on supporting your mentee professionally? (5 sentences max) *
Your answer
Is there anything else you would like to help your mentee with? (5 sentences max) *
Ex: intramural sports, getting acquainted with social life
Your answer
Any hobbies or activities of interest? *
Ex. dance, sports, greek life, games, etc.
Your answer
By signing this contract I commit to building a strong, long-lasting relationship with my LBSA mentee. I have reviewed the LBSA Mentorship Program guidelines found on the LBSA webiste and have agreed to follow the guidelines and to fulfill any requirements. *
Requirements include active communication with your mentee and active involvement in LBSA as a whole.
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service