Student Application 2015-2016 WUSTL

The Regional Business Council Higher Education Collaboration

2015 – 2016 RBC Mentor Network Student Application Students applying for this program should have a strong academic background, an interest in living and working in the St. Louis region upon graduation, and must commit to participating for two semesters. Applications must be filled out and submitted electronically. lease contact ti any uestions Applications and resumes are due by Friday, August 28, 2015.

COLLEGE OR UNIVERSITY:

GPA:

NAME:

MAJOR/FIELD OF STUDY:

SCHOOL WITHIN COLLEGE/UNIVERSITY:

INDUSTRIES OF INTEREST: ANTICIPATED GRADUATION DATE:

PREFFERRED MAILING ADDRESS

A APHONE:

HOW DO YOU IDENTIFY YOURSELF? SELECT ALL THAT APPLY (OPTIONAL):

☐ American Indian/Alaska Native ☐ Asian ☐ Black/African American ☐ Hispanic/Latino ☐ Native Hawaiian/Other Pacific Islander ☐ White ☐ Bi-Racial/Multi-Racial ☐ Foreign Born

A FEW MENTORS (DUE TO THE NATURE OF THEIR JOBS) MAY ONLY MENTOR U.S. CITIZENS.

ARE YOU A U.S. CITIZEN? (YOUR ANSWER DOES NOT IMPACT YOUR ELIGIBILITY FOR THE MENTOR NETWORK PROGRAM AS A WHOLE) ☐ YES ☐ NO ☐ DECLINE TO ANSWER

ARE YOU A MILITARY VETERAN? ☐ YES ☐ NO

1. Will you take the initiative to contact your mentor to set up the mentoring meeting? ☐ YES ☐ NO

2. Will you commit to a minimum of two meetings per year (at least one each semester) with your mentor? ☐ YES ☐ NO

3. Do you have the time and means of transportation to travel to your mentor’s office in the St. Louis region for each meeting?☐ YES ☐ NO

4. Do you wish to learn about career opportunities that exist in the St. Louis region and are you open to pursuing a career in the St.Louis region? ☐ YES ☐ NO

5. Are you willing to participate in the program even if you are not paired with a mentor whose job or firm aligns with your specificdegree or interests? ☐ YES ☐ NO

Please complete and return this form to your University Liaison with a copy of your resume. Applications without resumes or with missing information will not be considered. For more information, contact the Regional Business Council at 314-225-2102.

☐ a ☐ F a ☐ t r

The Regional Business Council Higher Education Collaboration

2015 – 2016 RBC Mentor Network—Student Application

6. Describe the extra-curricular activities in which you are currently involved (work, sports, student organizations, clubs, etc.).

7. Tell us about yourself and your general life goals, as you see them today.

8. What results do you desire from your participation in this program? How will you see your involvement in this program as a success?

Please complete and return this form to your University Liaison with a copy of your resume. Applications without resumes or with missing information will not be considered. For more information, contact the Regional Business Council at 314-225-2102.