First-Year Mentor Form
*Please select the position you are applying for:
Please Choose
New First-Year Mentor
Returning First-Year Mentor
*First Name:
*Last Name:
*Preferred Pronoun:
He, Him, His
She, Her, Hers
They, Them, Theirs
I prefer not to use pronouns
Other
*LVC Email:
*Home City & State:
*Cell Phone #:
*Please choose your Current class:
First-Year
Sophomore
Junior
Senior
*Which of the following apply:
Resident
Commuter
*Did you previously transfer into LVC?:
No
Yes
*T-Shirt Size:
Small
Medium
Large
X-Large
XX-Large
XXX-Large
*Cumulative GPA (Minimum 2.5 GPA Required):
*Major(s):
Minor(s):
*List of activities and leadership in which you have been involved with while attending LVC (on or off-campus):
*Anticipated activities/employment for the fall semester (Be sure to include student teachings, sports, internships, student organization leadership, on or off-campus employment, etc.):
*Why are you interested in being a First-Year Mentor?
*What is one area of growth you hope to achieve through this experience?
Please list the name of a LVC professional staff member and their role here on campus, who has agreed to serve as a reference for you.
Reference Email:
Please upload your resume before submitting your application (PDF’s Only).
