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25-26 Multiculutal Mentorship Program Application (MMP)
Multicultural Mentorship Program Application
The Multicultural Mentorship program is a peer mentoring program designed and designated for students from any underrepresented identities, such as students of color, first-generation students, LGBTQ+ students, students with disabilities, international students, low-income students, veteran students, or students from religious minorities. The program assists with the first-year transition into the Augusta University community through exclusive social, personal, and professional development opportunities.
MMP is a free program for Augusta University students.
General Information
First Name
Last Name
Preferred Name
Student ID Number
Birthdate
Birthdate
January
February
March
April
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June
July
August
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November
December
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1901
1900
Gender Pronouns
Augusta University Email
Personal Non-Augusta University Email
Phone Number
Major
How did you hear about the Multicultural Mentorship Program?
Orientation Session
E-mail
Phone Call
Mail
Social Media/ZeeMee
Campus Tour
Friend/Current Student
Other
Please upload a headshot of yourself here
Program Information
Please submit your responses to the questions below. Your responses to the questions below will be heavily considered for your acceptance into the program.
What identities do you hold that are acknowledged as an underrepresented identity? (Race, Ethnicity, Religion, Sexuality, Gender, Ability, Veteran Status, First Generation Status, etc.)
Why would you like to be a part of the Multicultural Mentorship Program? (300 words or less)
What are your goals for your first year at Augusta University? (300 words or less)
What are your career goals?
What are your hobbies and interests?
What is the most important commonality that you would like to share with your mentor?
Identity (gender, sexual orientation, race/ethnicity, ability, etc.)
Major/Field of Study
Career Plan
Hobbies and Interests
Additional Information
If you do not have dietary restrictions or medical concerns, please type "not applicable" in the text box.
Dietary Restrictions
Medical Concerns
Where do you plan to live this school year?
Where do you plan to live this school year?
On-campus
Off-campus
Shirt Size
S
M
L
XL
XXL
XXXL
Application Agreement
I acknowledge that I am required to attend the MMP Fall 2025 Retreat the week before the start of classes.
You will be eligible to move in early, free of charge, to accommodate your attendance.
I acknowledge that I am required to attend the MMP Fall 2025 Retreat the week before the start of classes.
You will be eligible to move in early, free of charge, to accommodate your attendance.
Yes
I acknowledge that I will be required to enroll in the MMP-specific Inquiry 1000 in the fall semester and Leadership 2000 course in the spring semester.
I acknowledge that I will be required to enroll in the MMP-specific Inquiry 1000 in the fall semester and Leadership 2000 course in the spring semester.
Yes
I acknowledge that the above information is true and hereby submit my application to the Multicultural Mentorship Program.
I acknowledge that the above information is true and hereby submit my application to the Multicultural Mentorship Program.
Yes
I acknowledge that upon acceptance, I must complete a separate acceptance agreement to confirm my spot in the Multicultural Mentorship Program.
This agreement will be linked within your acceptance e-mail.
I acknowledge that upon acceptance, I must complete a separate acceptance agreement to confirm my spot in the Multicultural Mentorship Program.
This agreement will be linked within your acceptance e-mail.
Yes
Submit
Last modified: March 25, 2019 by Heather Hopkins