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Peer Mentee Application - Requesting a Peer Mentor | Bismarck State College

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Peer Mentee Application - Requesting a Peer Mentor

If you would like to be connected with a Peer Mentor at Bismarck State College, please complete the Peer Mentee Application below.
* Today's Date (MM/DD/YYYY)  
* First Name  
* Last Name  
* Phone Number (XXX-XXX-XXXX)  
Preferred Email Address
*

Home Residence

(select one)
 






*

Program Affiliation

(check all that apply)
 


Needs for a Peer Mentor

(check all that apply)





*

Things I would like to do:

(check all that apply)
 







* Tell us about yourself.  What would you like your peer mentor to know about you?  
* What are you academic and career goals?  
* What do you enjoy doing in your free time?