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Who We Are
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What We Do
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Students: Apply Here
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Application Form For Student
Please enable JavaScript in your browser to complete this form.
Your full legal name
*
Email Address
*
Cell phone
*
What is your gender?
Male
Female
Prefer not to say
Other
other
Your current residential address
*
What's the name and address of your current university?
*
What's your course of study
*
What's the duration of your course of study?
*
Less than 2 years
2 years
3 years
4 years
5 years
More than 5 years
List any special interests, skills or hobbies you have
List all the languages you speak and your level of proficiency in each.
Next
What is your personal life goal?
*
What steps are you taking to achieve this goal?
*
Describe a meaningful achievement you have made and how it relates to your personal life goal.
*
What do you hope to gain from the VarsityMentor program?
*
I will attend all meetings with my mentor in a month
*
Yes
No
I will track every the key takeaways from every meeting with my mentor using the VarsityMentor Program Tracker
*
Yes
No
I will fill out evaluation surveys of my mentoring program
*
Yes
No
I will perform any pre-work assigned prior to my mentoring meetings
*
Yes
No
Advanced degree or other postgraduate qualifications
*
1
2
3
4
5
Good communication skills
*
1
2
3
4
5
Developing leadership and management skills
*
1
2
3
4
5
Establishing clear development and career goals
*
1
2
3
4
5
Extensive industry experience
*
1
2
3
4
5
Strong leadership skills
*
1
2
3
4
5
Strong technical skills in your area of study
*
1
2
3
4
5
Strong problem solving skills
*
1
2
3
4
5
How did you hear about VarsityMentor volunteer opportunity?
Someone referred me to the VarsityMentor Program
A posting at your university or college
Company posting
VarsityMentor Event
VarsityMentor Event
LinkedIn
Facebook
Google Search
Email listing
Other:
other 2
*
If you heard about this opportunity through VarsityMentor event, please list the event
Next
Write an introduction of yourself for your future mentor. Include anything that you would like them to know about you (e.g. who you are, why you are becoming a mentee, interests, passions, areas of expertise).
*
Please provide your LinkedIn Profile page
*
Please provide your Facebook Profile page
Name three notable Africans you are inspired by. Why do they inspire you?
*
Next
Name of first reference
*
Email address
*
Phone
What's your relationship with this reference?
*
Name of second reference
*
Email address
*
Phone
What's your relationship with this reference?
*
Name of third reference
*
Email address
*
Phone
What's your relationship with this reference?
*
Previous
Next
understand that I will be matched with a mentor based on my responses to this application form and based on available mentors
Yes
Is there any other thing you would like to share with us?
Submit
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