Office of Multicultural Affairs
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Peer Matching Form

Please complete the following information in order to match you with a peer mentor.
We do not guarantee that specific requests will be honored.
Please realize that the information you provide us is only used to assist us in matching you with your mentor(s).

Name:

Home State/Country:

Phone:

Summer Email Address:

Gender:

Academic Interests:


Hobbies/Other Interests:


Favorite:
Book:
Food:
Drink:
Snack:
Movie:
TV Show:

Prefer a Peer Mentor of the same:
Same Gender No Preference
Same Race/Ethnicity No Preference
Same Religion No Preference

Please list yourRace/Ethnicity:

Any special accomodations:

International Students only:
Would you prefer a Peer Mentor from the same country as you?:
Same Country No Preference

    


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