Mentor Application | North Central University

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Mentor Application

Please fill in all the information. The more detailed you are the better we can pair you up with a compatible mentee.

Name: *

Telephone: *

Local Address:

City: *

State: *

Zip code: *

Email: *

ID #: *

Year in School: *

Junior

Senior

Ethnicity:

African American

Caucasian

Hispanic

Asian American

Other

Major:

Why do you want to be a mentor?: *

What activities/organizations are you involved in, on campus/in your church?: *

What activities would you participate in with your mentee?:

Athletic Events

Campus Tour

Department/Advising Chapel

Recitals

Spiritual Events (i.e. Praise Gathering)

SAC Events

Other

Please list two references. One must be a Faculty member at NCU.

First Reference

Name:

Occupation: *

Phone: *

Second Reference

Name: *

Occupation: *

Phone: *

North Central University is accredited by The Higher Learning Commission and a member of the North Central Association - ncahlc.org
910 Elliot Ave. Minneapolis, Minnesota 55404 - admissions@northcentral.edu - 800.289.6222