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Adult Mentor Peer Program Registration (Mentee)
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* Indicates required question
Name
*
Your answer
PSU email address (ex:
abc123@psu.edu
)
*
Your answer
Phone Number (preferred)
*
Your answer
Major
*
Your answer
What is your career/educational goals?
Your answer
When will you be on campus?
*
Morning
Afternon
Evening
Required
Are you a full time or part time student?
*
Your answer
Are you a veteran?
*
Yes
No
Please tell us a little about your interests:
Your answer
What are your top 3 concerns about your education?
*
Your answer
I understand that for the purpose of the program, my email and phone number will be shared with my assigned mentor. By completing this form, I agree to follow all Penn State University policies and abide by all state and federal laws. I understand this is a peer to peer mentor program and is voluntary.
*
Yes
No
Required
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