Mentee Application

Name(Required)
I prefer my Peer Mentor to contact me initially by(Required)
Year in School(Required)
Check:(Required)
Attending UALR:
Please provide any additional information or comments below you would like to share to assist in matching you with the best mentor (such as marital status; ages of children, if any; current line of work; length of commute to university; any special needs or areas of concern, etc.)
Electronic Signature