LGBTQ Mentorship Program Mentee Application

First Name *

Last Name*

UND E-mail *

Class Standing

First-Year Student
Second-Year Student
Third-Year Student
Fourth-year + Student

Major*

What is your Gender Identity/Gender Expression (for matching purposes)?

e.g.: cisgender woman, cisgender man, transgender man/masculine, transgender woman/feminine, non-binary, genderqueer, gender fluid, gender non-conforming

What is your sexuality (for matching purposes)?

e.g.: gay, lesbian, bisexual, pansexual, polysexual, asexual, aromantic, demisexual, demiromantic,

Are there any other challenges you feel you may face as a student at UND? (optional)

Is there any additional information you would like to share? (Optional)