Alumni/Student Mentoring Program - Application

Full Name
Local Mailing Address
Street
City
State/Province
Zip
Country
Telephone
E-mail

Background Information
Undergraduate Institution
Major
Postgraduate School
(other than BU Law):
Postgraduate Study or Degree (other than J.D):
Hometown

Special Interests
Please indicate your special interests or hobbies

Are there particular considerations you would like us to take into account in matching you with a mentor?

Please state briefly what you hope to gain from the Mentor Program