Honors Program

Honors Mentor Network Student Application Form

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First and last names

Sophomore or Junior

Please rate each of the following four modes of communication for your preferred way to communicate with your mentee. Rate your preference from 1 to 5, with 1 being your least preferred and 5 being your most preferred mode.

I acknowledge that if I am selected to participate in the UIW Honors Program Alumni Mentoring Network, I will abide by its guidelines and requirements. In particular, I agree to:

• pledge full commitment to establishing and maintaining contact with my Alumni Mentor
• to follow through on all agreed-upon meetings and activities with my Mentor
• to attend all University Honors Alumni Mentoring Network scheduled meetings and events.