Student Protégé Application

The Alumni Mentoring Program is designed to pair Penn State DuBois students with Penn State DuBois alumni to provide an opportunity for students to explore career paths and to build their professional and leadership skills.

Please complete the information below so that the Offices of Alumni Relations can match you with appropriate alumni mentor.

How did you hear about the Alumni Mentoring Program?

Student Name

PSU Email Address

Preferred Email Address (if different then your PSU email address)

Home Phone Number

Mobile Phone Number

Home Address

Local Address (if different than home address)

Your Class Standing

Freshman

Sophomore

Junior

Senior

Current GPA (if applicable)

Expected Graduation

Would you consider yourself a “Change of Location Student”? (Are you planning to transfer to another PSU campus?)

Yes

If yes, please indicate location of campus change

What is your declared or intended major

What are your career interests

List special interest or hobbies

List your participation in PSU Activities (i.e. clubs, events, conferences, research, additional training programs)

What are you looking for in a mentor and what are you hoping to gain from the mentorship program?

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Student Protégé Application

See Also