First Name Last Name Student ID number Email Address ... - IUPUI
First Name Last Name Student ID number Email Address ... - IUPUI
First Name Last Name Student ID number Email Address ... - IUPUI
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<strong>First</strong> <strong>Name</strong><strong>Last</strong> <strong>Name</strong><strong>Student</strong> <strong>ID</strong> <strong>number</strong><strong>Email</strong> <strong>Address</strong>Phone Number (include area code)Best contact method <strong>Email</strong>Date of Birth (MM/DD/YYYY)GenderCountry of CitizenshipPlease confirm that you are an undergraduate student Yes, I amWhat school are you studying in? (Science, Business, Liberal Arts, etc)What is your major? Academic Standing as of Fall 2013:Have you successfully completed 12 credits prior to Spring 2013?How many credits are you taking during Spring 2013?What was your Fall GPA? Cumulative GPA? (Must be 2.800 or higher to qualify.)
Refer to http://international.iupui.edu/volunteer/peer-mentoring/ for a listing of IPMP ResponsibilityAreas.Which Responsibility Area is your first preference?Are you available during the times required by this Responsibility Area?Which Responsibility is your second preference?Are you available during the times required by this Responsibility Area?If accepted into IPMP, would you be available to attend biweekly meeting on Fridays from 2:30 to 3:45pm? YesHave you ever taken a UCOL Mentoring course?If Yes, which was the latest one you took?For which mentoring program did you take that course?We will hold group interviews for IPMP Candidates. Please check the date/time you would prefer:Friday, March 22 nd , 9-12Friday, March 29th, 1-4I am available at both of these timesIf selected will you be available to attend the Mandatory IPMP training on May 6 th and 7 th from 9am to5pm?
Please list your leadership positions held within the past 2 years. List your leadership role, theorganization association with the position, and the length of time you held the position. (Attachadditional page if needed.)Please list all awards and scholarships that you have received (in both university and high school).(Attach additional page if needed.)
In a 2-page, double spaced (12 font) essay, please answer the following:International students come from very diverse backgrounds, so their challenges can be very differentfrom domestic students. What do you think some of those challenges are? How can your own pastexperiences help you in supporting international students as they adjust to those challenges? (Attachadditional page if needed.)I verify that all information on this application is correct and true.________________________________Signature_____________________________Date
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