Today's Date:
Your Name: Preferred E-Mail:
PSU Address:
PSU City: PSU State: PSU Zip:
Will the address listed above be your address this fall semester: Yes No I don't know
Phone #:
Hometown (City, State):
Name of High School:
Work/Academic Information:
Major(s): Minor(s):
Cumulative GPA:
Are you a freshman, sophomore, junior, or senior?
Have you already, or do you plan on doing study abroad while at Penn State? If yes, when and where?
Work Experience while in:
High School Activities (sports, music, volunteer etc.—note any leadership positions):
Penn State Activities:
Current hobbies, volunteer activities,etc:
Professional Experience/Interest:
Do you see yourself entering the workforce after college or going to graduate school?
In what career areas are you interested? List as many as you like and please be as specific as possible. If you don't know, comment on what you like to do now (interests), what you do well (skills), and what you feel is important.
Once in the workforce, what kind of work setting do you think you'll prefer, e.g. large/corporate, entrepreneurial, non-profit, government?
Geographic Area(s) in which you've lived (states/regions/countries):
Area(s) in which you'd like to live after graduation:
General Questions:
How did you decide on Penn State?
How did you decide on your major?
What are your strongest attributes as a group member?
With whom do you network or keep in contact, e.g., former teachers, coaches, bosses?
What skills do you admire in others that you would like to acquire or improve in yourself?
What are you hoping to get out of participating in this program?
How did you find out about the mentor program, e.g. adviser, friend, class presentation, club?
College of the Liberal Arts