Supporting Unity & Success To Achieve In Numbers
Preferred Name (Indicate preferred name for name tags, introductions etc.):
Current Campus/Local Address Please include Residence Hall and Room Number. If you are a commuter, include: street, apartment/unit number, city, state and zip code:
Marquette Email Address:
Home Phone Number (if applicable) Please include area code:
Cell Phone Number (if applicable) Please include area code:
Preferred method of contact:
Race/Ethnicity:
Gender:
Religious Affiliation (if any):
Do you identify as a First Generation Student? (Both parents or legal guardians do not have a bachelor's degree)
Academic College:
T-Shirt Size:
In social settings, I would describe myself as:
Please respond to the questions below in 100 words or less.
SUSTAIN: Excellence seeks to support students from underrepresented racial, ethnic, and religious communities, first generation college students, and students and allies in the lesbian, gay, bisexual, transgender, questioning communities. Given this information, please identify the communities to which you belong:
Why are you interested in having a mentor and what do you expect from a mentor?
How do you foresee being a mentee in the SUSTAIN: Excellence program assisting with your success as a first-year student at Marquette?
Are there other important details you would like your mentor to know about you?
I would like to talk more with a mentor about: Check all that apply
As a mentee, I would like to learn more about the following campus resources or activity opportunities: Check all that apply
Visit: Alumni Memorial Union 121 Monday - Friday: 8:00am to 4:30pm E-mail: intercultural@marquette.edu Call: 414-288-7205 Fax: 414-288-3111 Follow us on Facebook or Twitter