Mentoring Program Application
PLUS/Mentoring Handbook Home Advising & Retention  Tutoring 
spacerspacerspacerspacer

EKU has a variety of programs (SEE: Descriptions) that offer mentoring to its' students. The questions below will help us match you with a mentoring program, and will assist us in making the best match possible! The goal of this application process is to ensure that our mentees and mentors have the best experience possible in our programs. We thank you for your interest and look forward to meeting you!


  Name

 Local Street Address

  City 

 State

 Zip Code

  Major


E-mail Address


 Local Phone

 Cell Phone

 Expected date of graduation

 Department
I would like to be a MENTOR I would like to be a MENTEE
I would like to be matched by: (Please select one):

Gender (WILL, Multicultural Student Affairs)
Race or Ethnicity (Multicultural Student Affairs, SPICE, International Students)
Project Success
Athletics
Other (EPC, NOVA)
Undecided/Other (PLUS Mentoring)
Please Match Me! Are you interested in us matching you? If so, we will look at your interests and preferences and match you with a program and mentor or mentee that best suits your needs!
Please check those areas that you would like us to take into consideration when matching you with a program and/or mentor or mentee!
My children
Major/Minor
Interest in athletics
Ethnicity
Cultural diversity
Non-Traditional Student
First Generation College Student
International Student
PELL Eligibility
Living & Learning Communities
Interests - General
Sexual Orientation
My interests and hobbies are:
Ethnicity:
White
African American
Hispanic
American Indian/Alaskan Native
Asian American/Pacific Islander
International (If International, list Country: )
Gender:
Male Female
Please take a minute to write a brief paragraph about why you would like to be a mentor or mentee and what you hope to gain in the program. (Please include any additional information that you think will help us in making the best match for you!)
spacer
PLUS/Mentoring PurposeTale of the MentorFAC/STAFF/ADMIN MentoringPeer MentoringStudent MenteesWhat Mentoring Can BeRole of MentorsMentoring RelationshipMaking ContactCultural AwarenessEffective MentoringStrategiesWhen to ReferCode of ConductResources
Application
 
EKU PLUS/Mentoring Handbook
SSB, Room 347
521 Lancaster Ave.
Richmond, KY 40475
Tel: 859-622-6778