Faculty Mentoring Program

Mentee Application

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Your Email:

A Password:

First Name:

Last Name:

Title:

Department:

Campus Address:

Email Address:

Preferred meeting dates and times:

Fall 2009:

Winter 2010:

Why do you want to participate in this new mentoring program?

What do you hope to get out of and contribute to this program?

I would like a mentor to assist me in the following areas(use the shift key to select multiple areas):

Other area:

University of Michigan - Flint