Bauer Faculty CARES Mentorship Program

* Denotes required field
 
First Name *

 
 
Last Name *

 
 
PeopleSoft ID *

   
 
UH email Address *

   
 
Phone Number *

 
 
Tell us about yourself! What would you like your mentor to know about you? *

 
 
Are you the first in your family to go to college? *

 
 
What is your intended major? *

 
 
How many courses are you registered for this semester? *

 
 
Are you working this semester? *

 
 
If yes, tell us about your employment. Where do you work? How many hours per week?

 
 
Why did you choose to attend UH Bauer College? *

 
 
What are your top three goals for yourself during your first semester at UH Bauer College? *

 
 
How can your mentor help you achieve these goals? *

 
 
I plan to meet with my mentor to. . . *



 
 
I would prefer a mentor who is *


 
 
    



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