Teagle Undergraduate Student Mentor Application

Name *

First/Middle/Last

Preferred Name

Email Address *

Gmail Email Address (If Applicable)

Are you a College Prep Alumni Scholar or past/current Program Assistant? *

Yes

Washington University Student ID # (If a CPP Alumni Scholar and not a WashU student, type 000000) *

Contact Information

School/Current Address *

School/Current Address

Address Line 1

Address Line 2

City

State/Province

Zip/Postal

Country

Permanent Address *

Permanent Address

City

State/Province

Zip/Postal

Country

Cell Phone *

Washington University School/College *

Sam Fox School of Design & Visual Arts

Olin Business School

McKelvey School of Engineering

Arts & Sciences

University College

Other (Not Attending WashU)Other (Not Attending WashU)

Major/Concentration *

Minor, if applicable

Anticipated Graduation Date *

Please note:

All Washington University candidates’ records will be verified with the office of Student Conduct and Community Standards to determine positive standing with the University. Positive standing will be determined by the office of Student Conduct and Community Standards.

Short Answer Essays

Please answer the following questions. (minimum of 80 words per question)

1. Please share your experiences with working with a diverse background of students (ex. first generation, students of color, and students with limited financial resources)? *

2. What program/session ideas do you have for engaging College Prep Scholars in academic enrichment, hands-on activities and social engagement? *

3. As a Student Mentor, what challenges do you anticipate experiencing in the Washington University College Prep Program (working with youth, community related, personal)? *

References

List two references that we are able to contact. Undergraduate students (peers, mentors, etc) are able to provide references, however, you are only allowed to list one peer. *Note: current, former, and alumni College Prep staff (director, program coordinator, administrative coordinator, graduate fellows, program assistants, and office assistants) are not allowed to be listed as reference.

Reference #1 Name *

First & Last Name

Title *

Relationship to Reference *

Phone *

Dates Known *

Email *

Reference #2 Name *

First & Last Name

Title *

Relationship to Reference *

Dates Known *

Phone *

Email *

Résumé

Please upload a .doc or .pdf of your current résumé.

File Upload *

Maximum upload size: 51.2MB

Electronic Signature

Completed applications include this application form, essay responses and a resume. Please type in your initials below and click the box to signify your applicant signature. *

Please type in your initialsPlease type in your initials

Signature

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