Adult Mentor Peer Program Registration (Mentee)
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Name *
PSU email address (ex: *
Phone Number (preferred) *
Major *
What is your career/educational goals?
When will you be on campus? *
Are you a full time or part time student? *
Are you a veteran? *
Please tell us a little about your interests:
What are your top 3 concerns about  your education? *
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. *
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