Student Affairs & ServicesInternationalMentorship ApplicationsInternational Mentor Application

International Mentor Program Application

Note personal information requested on this form is use to assist in making the best mentor/mentee matches possible. Please see our privacy statement below for more information or to ask questions about privacy protection at UNB.

* First Name

* Last Name

* Country of origin

* Email

* Phone Number

* Gender*Disclaimer: will be used in some cases to best match you with your mentee: Female
Male

* Gender Preference for Matching*This request may, or may not, be met. All efforts will be made to match you successfully.: Female
Male
Doesn't Matter

* Are you in an*Disclaimer: will be used in some cases to best match you with your mentee: Undergraduate Program
Graduate Program

Current Year of Study

* Faculty/Department (Major)*Disclaimer: will be used in some cases to best match you with your mentee

Why are you interested in the International Mentorship Program?

* What do you expect from this program?

* What do you expect from your mentee?

* What are some of the qualities that will make you a good mentor?

What are your interests and hobbies?

* Are there any concerns that you have about this program or activities you may be part of?

* Do you have any special needs or requests (food restrictions, sensitivity to scents, allergies, etc)?

* Is there anything else you want me to know as I match you with a mentee?

Privacy Statement

UNB and the UNB International Mentorship Program are committed to protecting the personal information of all participant mentors and mentees. The information collected on this form will be used solely for the purpose of mentor/mentee assignments and is accessible only to the programs website administrators and International Mentorship Program administrators. For more information on the protection of personal information at UNB please consult the University Secretariat, University of New Brunswick, PO Box 4400, Fredericton, NB, E3B 5A3 www.unb.ca/secretariat (506) 453-4613.