General Information

Name:      ASU Affiliate ID#:
Email Address:

Birthdate:      Phone:      Gender: Male      Female

Summer Address

Street 1:

Street 2 (optional):

City: State: Zip:

Application Questions

Current cumulative GPA:

Class standing for 08-09 school year (choose one):   Sophomore      Junior     Senior

What is your expected course load (credit hours) for the 08-09 school year?
Fall 08:      Spring 09:

What is your current major?

Were you ever enrolled as an Exploratory student at ASU?   Yes      No

Do you currently live on campus?   Yes      No

Do you plan to live on campus next year?   Yes      No

If yes, would you be interested in being a “live-in” peer mentor in the Explorers Residential College?
Yes      No

Are you able to attend a half-day training session the week prior to fall 08 classes starting?
Yes      No

Are you able to attend a monthly social program (early weekday evenings and sometimes weekends)?
Yes      No

What is one thing you wish a mentor would have told you during your first year as a college student? (short answer)

What other leadership activities are you involved in on or off campus? (short answer)

Why are you interested in being a peer mentor? (short answer)

Have you ever been documented for a violation of the ASU Student Code of Conduct?   Yes      No

If you would like to request a specific freshman student as your mentee-fresh, please provide his/her:
Name:      ASU Affiliate ID:

Please note:
1. Your student record will be accessed to verify the information you have provided in this application.
2. You will be contacted during the spring 2008 semester regarding the status of your application.