UMID Number:
E-mail Address
UM School/College: School of Art College of Engineering School of Nursing Division of Kinesiology School of Music College of LSA Residential College School of Natural Resources College of Pharmacy School of Education School of Dental Hygiene School of Business Admin. Law School Medical School Rackham Other
If you selected "Other" above, please enter your school here:
State or Country of Birth:
Birth Date
City:
State:
Country:
Zip Code: -
Home Phone: - -
Campus Address Address:(if known)
Campus Phone: (if known) - -
What is your preferred method of summer communication? eMail Phone U.S. Mail
Gender and Demographics:(both optional) Male Female
African-American/Black Asian or Pacific Islander Caucasian/White Indian Hispanic/Latino/a American Indian or Alaskan Native Other
Multiracial or Multi-Ethnic (specify): International (specify):
Academic Interest: You may choose one. Art and Design LSA - Biological Sciences LSA - Humanities LSA - Physical Sciences LSA - Social Sciences LSA - Undeclared Engineering Kinesiology School of Music Other:
If you selected "Other" above, please enter the field here:
I am interested in pre-professional academic opportunities in the following field: Graduate School Pre-Business Pre-Health Pre-Law
If you selected "Graduate School or Pre-Health" above, please enter the field here:
Extracurricular Interests (Please rank top three)
If you selected "Other" above, please enter the details here:
Will you be participating in any of these fall activities: Greek Life Varsity Athletics Marching Band Other
If you selected "Other" above, please enter the activity here:
Have you applied to another Michigan Learning Community? If so, please specify: Comprehensive Studies Program Health Sciences Scholars Program Honors Program Lloyd Hall Scholars Program Max Kade German House Michigan Community Scholars Program Residential College Undergraduate Research Opportunity Program/UIR Women in Science and Engineering
Short Essay Questions Responses to each of the questions below should be a minimum of one paragraph in length. 1. Tell us about yourself. Include academic interests, career goals, and extra-curricular activities.
2. Why are you applying to the Mentorship program? What do you hope to gain?
3. What qualities/traits are you looking for in a Peer Mentor? In a Faculty/Staff Mentor?
4. There are a limited number of opportunities for freshmen to be selected as Mentees. Why should you be selected and how will you contribute to your group's experience?
