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Mosaic Mentor Program Application
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Name
*
First
Last
Email Address
*
Cell Phone Number
*
###
###
####
Campus Address
Street Address
Street Address Line 2
City
State / Province / Region
Postal / Zip Code
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Home Address
*
Street Address
Street Address Line 2
City
State / Province / Region
Postal / Zip Code
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Resident
Commuter
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I am:
Returning M&M
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*
Major(s)
*
Minor(s)
*
T-shirt size
*
Small
Medium
Large
X-Large
XX-Large
Please list leadership activities you have been involved in while attending LVC or prior:
*
Anticipated activities/employment for the Fall semester (i.e. student teaching, sports, internships, student organization leadership, etc.):
*
Why are you interested in being a Mosaic Mentor?
*
What do you hope to gain from the Mosaic Mentor position?
*
What do you feel are 3 major issues facing first year multicultural students here at LVC? Please explain.
*
Explain the contributions you could make to the academic, social, and personal adjustment of an incoming Multicultural student:
*
What part of the Mosaic Mentor program would you change or enhance for the benefit of incoming Multicultual students?
*
Please upload your resume before submission of your application.
*
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In this section
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