FRESH
Peer Mentor Application (2012-2013)


* - Denotes REQUIRED Information. Please be sure that you include an email address that you check frequently and use your current home and cell phone numbers.

If you are looking to become a Peer Mentor, please note the following eligibility requirements:
  • 2.5 cumulative GPA
  • Attending U of M 2012-2013
  • A desire to make a difference in someone’s life

*Last Name:    *First Name:    MI:

*Gender:       *Major:    Minor:

*GPA:    *Academic status for 2012-2013 academic year:       

*Email Address :

Mailing Address:    City:    State:   Zip:

*Home Phone #:    *Cell Phone #:

High School Attended:    City:    State:

*Are you a member of a fraternity or sorority?    If yes, which one?

*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?

   

 
Copyright © 2011 University of Memphis | Important Notice | Memphis, Tenn. 38152 | 901/678-2054