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Intercultural Mentor Application Form

This form is for current students at at Michigan Tech who want to apply to be an Intercultural Mentor for new international students.

Why Become an Intercultural/International Mentor?

Make sure that you fill out the form as completely as possible. When you are done filling out the form entries make sure to press the "Apply" button at the bottom of the page, or your application will not be sent or processed.

Personal Information First Name (Given Name):

Last Name (Family Name):

Gender: Male Female

MTU ID (M-Number):

E-mail address:

Phone Number:

Level:

Date You Began Your Degree Program (Ex: Fall 2005)

Major:

Home Country :

Languages Spoken

Dates of Availibility: (Ex: August 20th-December)

Why Would You Like To Be An Intercultural Mentor? (Maximum 5 Sentences)

Please Explain Previous International Experiences (Maximum 5 Sentences)

Press the "Apply" button below to submit your application, or "Reset" to start over:


 


 






Michigan Technological University

International Programs & Services

1400 Townsend Drive
Houghton, Michigan 49931-1295

Email: ips@mtu.edu

Phone: (906) 487-2160

Facsimile: (906) 487-1891


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