Faculty & Staff Mentor Application

First Name:*
Last Name:*
Email:*
Phone:*	( ) - Second three digits Last four digits
Office Address:*
Gender:*
Race/Ethnicity:*
Birthday:*
Favorite type of music:
Favorite Movie:
Hobbies/Interests:
3 words that describe YOU:
Your undergraduate field of study:
Your graduate field of study:
What advice would you give to a new student entering MSU:*
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