ATMentors Texas A&M University
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New Mentor Application
Membership Renewal Form

Mentor Renewal Form

Contact Information
Title:
First Name:
Last Name:
Job Title:
Department:
College/Division:
Mail Stop:
Office Location: (building & room)
Email Address:
Work Phone:
NetID:
 

Comments, Clarifications:

Renewal Preferences

1. Do you wish to renew your membership to be an ATMentor for the upcoming year? Yes  No
2. Would you be interested in serving as a representative for the Mentors in your College/Department for the upcoming year? Yes  No
3. Do you want to be on the ballot as a candidate for the ATMentors Executive Committee? Yes  No
4. Do you want to volunteer to staff the ATMentors resource table at New Student Conferences and other events throughout the year?  (Answering questions and distributing brochures about ATMentors) Yes  No
5. Do you want to volunteer to be matched with a student in the ATMentors Matching program? Yes  No
6. Do you want to volunteer to speak in public on behalf of the ATMentors program? (Mostly to Mother's clubs, which are frequently out of town.) Yes  No
7. Do you want to volunteer to be matched with a Regents Scholarship recipient? Yes  No

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