Spring 2022 Veteran and/or Adult Learner Mentee Peer Program Registration (Mentee)

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Mentors provide additional support to mentee's in navigating the system and connecting students to the campus and resources available at Penn State Lehigh Valley.

Full Name *

Please let us know if you are: *

Starting your first year in Higher Education

transferring in from another college/university

PSU Email Address *

Cell Phone Number *

Major *

What are your career/educational goals?

When will you be on campus? *

Morning

Afternoon

Evening

Required

Are you a Full time or Part time student? *

My courses are: (check all those that apply) *

During the day

In the evening

On campus

virtual

Both virtual and on campus

Are you a veteran? *

Yes

What are your top 3 concerns about your education?

Please tell us a little about your interests:

I plan to attend the Adult Learner Luncheon on Wednesday, January 12 from 12:15 p.m. - 1:15 p.m.

Yes

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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

Penn State encourages qualified persons with disabilities to participate in its programs and activities. If you anticipate needing any type of accommodation or have questions about the physical access provided, please contact Pam Fleck at 610-285-5299 in advance of your participation or visit.

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