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Odyssey Peer Mentoring Program
Student Development
Kennesaw State University
1000 Chastain Rd
Carmichael Bldg. Rm. 268
Kennesaw, GA 30144

Questions:
Kimberly Atlee
Program Coordinator
odyssey@kennesaw.edu

 		 
Mentor Application

Please fill in each blank and click on "Submit" to send to us. You will receive a confirmation that your application has been received. The information provided below will be used for purposes of matching peer mentor/mentee relationship. The Mentor membership directory will display your photo, name, student classification, and major

Semester:
First Name:Last Name:Student ID #:
Mailing Address:City:ZIP:
Home/Cell phone:E-mail address:E-mail (2) address:
Cumulative GPA  (GPA must be 2.7 or greater)
Current classification:  Graduate   Undergraduate
Gender:  Male   Female   Other
Birthdate:   (ex. 01/05/1980)
Married: Children: 
Degree Major/Minor: 
How or from whom did you learn about Odyssey?: 
What languages do you speak?
English  Spanish  French  German  Italian  Chinese  Other 
Interests/Hobbies
To match potential mentees with your available schedule, please be specific as possible and list all your available days and times this semester
Monday:  Times 
Tuesday:  Times: 
Wednesday:  Times: 
Thusday:  Times: 
Friday:  Times: 
Who has been the most influential person/mentor in your life and why?
What do you hope to gain personally and professionally from being a mentor?
Why do you think you will be a good mentor?
Have you been a mentor/mentee before? If so, what did you learn about yourself from that relationship?
Please provide a two to three sentence bio for the Mentor membership directory.
 Click here if you want a recommendation letter of completion for your resume (portfolio).
(Must have received a Mentor Training Certificate and completed two semesters as a Mentor)
Please submit 2 references who can attest to your character and ability to be a mentor:
Name:RelationshipE-mail:
Please send a photo of yourself (head and shoulders) to odyssey@kennesaw.edu
Don’t have a photo. If you don’t have a photo, the advisor will be in contact with you to set up a time to have a picture taken
 
By submitting this application, you attest that all information provided is accurate to the best of your knowledge and you will represent the KSU Odyssey Peer Mentoring Program with the highest respect.
     


Student Development
Adult Learner Programs  |  Disabled Student Support Services  |  GLBTIQ Student Retention Services  |  International Student Retention Services
Multicultural Student Retention Services  |  Odyssey Peer Mentoring Program  |  Parent & Family Association  |  Volunteer Kennesaw (VKSU)
 
     

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