Mentor Application

Please complete the questions below. The information you supply will be used in helping to determine your suitabilty as a mentor. If you are graduating in December of 2016, you are not eligible to be a mentor.  If you have questions, please email  Note: You cannot save this form and come back to it later.

Use format 000-000-0000.
Please check your email during the summer regularly.
Please retype your email address to confirm.
*After the current semester is completed (Spring 2016).
GPAs will be verified after spring semester grades are posted.
If you are chosen as a mentor, then we need to know what dietary restrictions, if any, you have for events.
Saturday, September 17 from 10am - 3pm. Location: TBA
This is a requirement of the program. If you are unable to attend, this may affect whether you can be a mentor.
Tuesday, September 20, 6:00 - 8:00pm, Location: TBA
This is a requirement, but reasons such as class are excused. We expect that if you have another job, that you do your best to not be scheduled for this one night. The majority of mentor program requirements are at your own scheduling and are very flexible. Please see our website for the mandatory semester check-in meeting dates.

Please copy and paste the following essay questions into a word document. Respond to each question in no more than 200 words. Please make sure that your NAME is on the document. After completing your responses, upload the document using this form (below).

1. Why do you want to become a mentor?

2. Do you have any previous experience mentoring, tutoring, or working with students? If so, please describe.

3. What qualities, skills, or other attributes do you feel you have that would benefit a mentee? Please explain.

4. What academic, cultural, creative, and/or social activities do you enjoy that you could share with your mentee(s)? Be specific.

5. Share with us some of your experiences, positive and negative, related to being a woman in STEM and how you could use those experiences to help your mentees.

6. Please share any additional information you would like the committee to know when considering you as a mentor.


Please title your essay beginning with your last name. ie lastname_essay
Include on your resume a reference name and contact information of at least one UW-Platteville faculty or staff member. A cover letter is not necessary. If you have problems uploading your essay questions or resume, email to Please title your resume beginning with your last name. ie lastname_resume

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