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New Student (mentee) Sign-Up Sheet

Please complete all questions and submit this form to sign up for the Arts and Humanities ARHU Ambassador Program. For more information about the ARHU Ambassador Program, contact the ARHU Ambassador Program Coordinator Ms. Megan Forbes at 301-405-2115 or send an email to mforbes@umd.edu.

DEADLINE FOR APPLYING: September 12, 2007

Name:
Social Security/Student ID#
Male
Female
Current Phone(s):
Current E-mail(s):
Status (i.e. freshman, sophomore):
Age:
Hometown, State:
Race/Ethnicity:
Major:
Other Field(s) of Interest:
   
Will you live on campus? Yes No
Are you a transfer student? Yes No
 
Please indicate if you are enrolled in any of the following special programs:
College Park Scholars Honors Humanities
Gemstone Honors
   
I prefer: A Female peer A Male peer No Gender Preference
 
What types of activities are you involved/interesed in? (Please mark all that apply)
Reading Listening to Music Community Service
Writing Performing Music Student Government
Cultural/Arts Events Dancing Academic Clubs
Theatre Events Playing Sports Languages
Movies Watching Sports Travel Abroad
Martial Arts and/or Yoga Religious (Note which denomination: )
Greek Life Ethnic-specific organization
(Note which population: )
Other(s)

Please note anything else we should consider when matching you with a mentor (i.e. major, race, religion, special interests, other expectations, etc.):

What do you expect out of a mentoring relationship and this program?

What classes are you thinking about taking this semester?

I understand that by filling out and submitting this applicatin, I will be matched with a peer mentor in the College of Arts and Humanities, and I will be placed on an email listserv that will give me more information about PMP activities and events. I agree to contact my mentor once I have been assigned to him or her. If I decide that I do not want to continue with this program at any point in the semester, I will let my mentor and the coordinator of this program know.

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College of Arts and Humanities
1102 Francis Scott Key Hall
University of Maryland
College Park, MD 20742-7311
301-405-2088 Phone
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