Mentee application Mentee application LGBTQ Mentorship mentor application Step 1 of 3 33% Name* First Last Preferred Email* If you are originally from outside the U.S., please let us know your country of origin. What is your birthdate?* Month Day Year Major or interest* What class are you in?* Freshman Sophomore Junior Senior Graduate I'm not sure Sexual Orientation* Lesbian Gay Bisexual Queer Straight Transgender is a term typically defined as having a gender identity different from one’s gender assigned at birth. Does this term best describe you?* Yes No I prefer not to respond Gender Identity (check all that apply)* Man Woman Non-binary Gender Queer Other Please describe other Gender Pronouns (check all that apply)* She / her / hers He / him / his They / them / theirs Ze / hir / hirs Ey / em / eirs Xe / xem / xyrs Other Please describe other Race/Ethnicity* American Indian or Alaska Native Asian Black or African American Hispanic or Latino/a Multiple Native Hawaiin or Pacific Islander White/Caucasian Prefer not to answer Why do you wish to be paired with a mentor for the LGBTQ+ Mentoring Program?*What are you hoping to gain from the Mentoring Program and relationship with a mentor?*What are some professional and personal interests/hobbies? (Used for matching and pairing of mentors/mentees) So we know you are human, please type in answer to 2+3=*By typing in your name you acknowledge your intent to submit this application. First Last