Peer Mentor Application Form



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Name: Campus Address: Campus Phone: Cell Phone: Home Address: Lee Email: Street City State Zip Code CIRCLE ALL OF THE FOLLOWING THAT WILL APPLY TO YOU FOR THE SPRING OF 2016: SOPH JR SR On-campus Off-campus Commuter Cumulative GPA: (Minimum 3.0 GPA required) Major(s): Were you a transfer student Minor(s): YES NO List activities in which you have been involved with while attending Lee (participation and offices held): List other jobs you may be working (on off campus): Anticipated activities/employment for the fall 2016 semester (be sure to include student teaching, sports, internship plans, student organizations, on and off-campus employment, etc…): Name of persons (and their department) completing reference forms for you: (MUST be 1 Lee faculty and 1 Res..

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