Sidekicks

2011-2012

AISS Sidekicks Mentorship Program ~ Interest Form
2011 - 2012

Mentor

Mentee

Gender:

Age:

Banner ID:

Name:

Class Status:

Address

Street:

City:

Zip:

Phone:

E-mail:

AISB Participant/Year (check if apply):

Year:

Major:

Tribal Affiliation(s):

Student Organization Affiliation(s):

Personal Hobbies/Interests:

If you are a returning Sidekicks member what activities would you like to be involved with?

Preferences
Please check or list your preferences for your mentor/mentee

Gender:

Major:

Tribal Affiliation:

Student Organization Affiliation(s):

Personal Hobbies/Interests:

Age:

Other: