*Note: Applicants MUST mail in the most recent copy of their report card. A GPA of at least 2.5 is required.
Check which program(s) or organization(s) you belong:
What middle school did you attend? (Name, city, state):
Do you have public speaking experience? If so, please explain:
Have you had any experience working with elementary school children?:
College Kids - 1-day program for 4th--6th graders
College Life Tour - visit middle schools in Indiana
Campus Tours - panel discussions & campus tours
Spring Shadow - mentor high school students
Required: Please Select Session(s) and Mentors for Spring Shadow
Session 1 March 30 - April 1
Session 2 April 6 - 8
* Lead Mentors will meet, greet and stay with Mentees in the dorm. The Mentors and Students will stay all together
in the dorm for two night. Lead Mentors will go to dinner, bowling and attend a Tuesday morning presentation.
* Day Mentors will meet and greet Mentees on Sunday and pick up their Mentees on Monday at 8:00am from their dorm,
take the Mentees to classes and bring them to dinner at 5:00pm. Day Mentors may stay for evening activities if your
Have you ever been convictied of a crime? (yes/no):
If yes, choose one of the following:
I certify that all information given is true.
I understand that any false statement made herein or ommission of convictions or current criminal charges is sufficient
reason for rejection of this application.