The Regional Business Council

Higher Education Collaboration

2015 2016 RBC Mentor Network Student Application
Students applying for this program should have a strong academic background, an interest in living and
working in the St. Louis region upon graduation, and must commit to participating for two semesters.
Applications must be filled out and submitted electronically. lease contact
ti any
uestions Applications and resumes are due by Friday, August 28, 2015.
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NAME:

COLLEGE OR UNIVERSITY:

MAJOR/FIELD OF STUDY:

GPA:

SCHOOL WITHIN COLLEGE/UNIVERSITY:

INDUSTRIES OF INTEREST:

ANTICIPATED GRADUATION DATE:

PREFFERRED MAILING ADDRESS

PHONE:

HOW DO YOU IDENTIFY YOURSELF? SELECT ALL THAT APPLY (OPTIONAL):

t r

American Indian/Alaska Native

Native Hawaiian/Other Pacific Islander

Asian

White

Black/African American
Bi-Racial/Multi-Racial

Hispanic/Latino
Foreign Born

A FEW MENTORS (DUE TO THE NATURE OF THEIR JOBS) MAY ONLY MENTOR U.S. CITIZENS.
ARE YOU A U.S. CITIZEN? (YOUR ANSWER DOES NOT IMPACT YOUR ELIGIBILITY FOR THE MENTOR NETWORK
PROGRAM AS A WHOLE)

YES NO DECLINE TO ANSWER

ARE YOU A MILITARY VETERAN? YES
NO

1.

Will you take the initiative to contact your mentor to set up the mentoring meeting?
YES NO

2.

Will you commit to a minimum of two meetings per year (at least one each semester) with your mentor?
YES NO

3.

Do you have the time and means of transportation to travel to your mentors office in the St. Louis region for each meeting?

YES NO
4.

Do you wish to learn about career opportunities that exist in the St. Louis region and are you open to pursuing a career in the St.
Louis region?
YES NO

5.

Are you willing to participate in the program even if you are not paired with a mentor whose job or firm aligns with your specific
degree or interests?
YES NO

Please complete and return this form to your University Liaison with a copy of your resume.
Applications without resumes or with missing information will not be considered.
For more information, contact the Regional Business Council at 314-225-2102.

The Regional Business Council

Higher Education Collaboration
2015 2016 RBC Mentor NetworkStudent Application
6. Describe the extra-curricular activities in which you are currently involved (work, sports, student
organizations, clubs, etc.).

7. Tell us about yourself and your general life goals, as you see them today.

8. What results do you desire from your participation in this program? How will you see your involvement in
this program as a success?

Please complete and return this form to your University Liaison with a copy of your resume.
Applications without resumes or with missing information will not be considered.
For more information, contact the Regional Business Council at 314-225-2102.