Mentee Application - African American Institute

Student Information

Name*

First Last

Campus Address*

Street Address City State ZIP Code

Email*

Phone*

Gender

Race

Check all that apply.

College*

Major*

Year Entered NU*

Expected Graduation Date*

How did you hear about this program?*

Mentor Gender Preference*

Mentor college and major preference

College

Major

What do you hope to gain from being a Legacy mentee? (check all that apply)*

Please Explain

Please provide a brief explanation for what you hope to gain from Legacy*

What are your hobbies and interests?*

Who has been the most influential person/mentor in your life and why?*

What do you plan to major in?*

What is your career or professional goal?*

Comments

This field is for validation purposes and should be left unchanged.