*Academic status for 2012-2013 academic year:
*Email Address :
*Home Phone #:
*Cell Phone #:
High School Attended:
*Why are you interested in becoming a Peer Mentor?
*What personal characteristics and skills do you possess which
would make you a good Peer Mentor?
Please list any student organizations or extracurricular activities
in which you plan to be involved during the 2012-2013 academic year:
What are your Hobbies/Interests?