International Student Mentoring Program Mentor Application
Biographic Information:
Name: Last: First: Gender: Male Female Phone number: Cell: Work: Home(Optional): Preferred Email Address: Citizenship: How long have you been in Buffalo (in years) ? How long have you studied/worked at UB (in years) ? On which UB campus do you work or study? North South
If a UB student, please respond to the questions below: UB person number: Degree Level: (If undergraduate, indicate year of study:) Freshman Sophomore Junior Senior Major:
Experience/Preferences:
Do you have any experience as a mentor or with assisting others? If yes, please explain. (Maximum 255 characters) (Maximum characters: 255) You have characters left.
What experience, knowledge or skills do you have that will help you as a mentor? (Maximum 255 characters) (Maximum characters: 255) You have characters left.
How often are you willing and able to meet with your mentor (choose one)?
Do you prefer mentees that are (choose one)?
What do you hope to gain from this program? Check all that apply.
Please rank the above choices in order of importance for you. 1 = the most important reason for joining this program 5 = the least important reason for joining this program
Make new friends Learn about another culture Gain experience that will help me develop professionally and personally Fulfill a course or program requirement Help a student adjust to UB and the U.S. Enhance my UB experience Participate in a volunteer activity or community service Do something different Help me understand international students better Meet someone I might be able to date Other (Please specify :)
What do you hope your mentee will gain from this program? What do you want to share with your mentee? (Maximum 255 characters) (Maximum characters: 255) You have characters left.
Do you have any international experience? Check all that apply. I studied abroad in: I travelled abroad to: I grew up / lived in a foreign country .If so, where? I have family abroad. If so, where? I am a UB international student from: I study or speak a language other than English. If so, what language(s)?
Are you currently involved in on-campus organizations (e.g. student clubs)? If so, which ones? (Maximum 255 characters) (Maximum characters: 255) You have characters left.
Tell us about yourself. What are your interests, hobbies, likes and dislikes? (Maximum 255 characters)
*** Please note that not all applicants will be chosen to participate. We want to ensure that each student is assigned to a mentor who can best meet his/her needs. Therefore, if an appropriate mentee is not available for you, we unfortunately will not be able to choose you to participate at this time.
