Request a Mentor (Protege Application)

Items marked with an asterisk are required.

* Your Name  
* Preferred address  
* Home Phone  
* Cell Phone  
* E-mail

* Gender
Ethnicity
Major

If Transfer student:

Activities you enjoy (check all that apply)
Art Photography
Book Clubs Singing
Concerts Talent Shows
Cooking Theatre
Dancing Traveling
Fitness Writing
Movies Video Games
Music Volunteering
Other  

Sports (check all that apply)
Badminton Skiing
Baseball Soccer
Basketball Softball
Biking Swimming
Bowling Table Tennis
Football Tennis
Lacrosse Track
Martial Arts Volleyball
Other  

Student Organizational Interests (check all that apply)
Alpha Phi Gamma Sorority
Asian American Association
Asian American Law Association
Burma Interest Group
Chi Sigma Tau Fraternity
Chinese Student & Scholar Association
Hong Kong Student Association
Indian Student Association
Kappa Phi Lambda Sorority
Kappa Pi Beta Fraternity
Philippine Student Association
Southeast Asia Club
Taiwanese Student Association
Other