Legacy Student Mentor and Leadership Application

Please fill out, and submit the following application. Legacy accepts mentor applications throughout the year. The Program Coordinator will contact you when the application review process is complete. If your application is accepted, the mentor/mentee pairing process will take during spring semester.

Student Information

Gender *
 
Race/Ethnicity *
 
Expected Graduation Year *
How did you hear about this program? *
 

Please provide brief answers (no more than a paragraph) to each question below.

References (Optional)

Please submit 2 references who can attest to your character and ability to be a mentor. This section is optional.

Reference #1
Reference #2
 *