GNOSEF Graduate Student Mentor Application

Graduate Student Name*
First Last
Graduate Student Email*
Graduate Student Phone*
Preferably Cell
Year (1st, 2nd, etc.)*
Department*
If other, please include your department below.*
Approximately how many hours per week are you available to mentor students?*
Do you have a car?*
- Yes
- No
Which division would you like to mentor?*
- Junior (grades 6-8)
- Senior (grades 9-12)
- Both Junior and Senior
Which junior division categories do you feel comfortable mentoring students in?*
Select all that apply.
Which senior division categories do you feel comfortable mentoring students in?*
Select all that apply.
Additional Comments/Questions:
CAPTCHA