2014 Mentee Registration

[ Registration Form ]

Given Name

Family Name

Student Number

(no z or s )

Sex

Female
Male
Undisclosed
Other

Please supply a private email address and/or phone number so that your Mentor can contact you.
This is optional, but without it we may find it difficult to get you involved.

Email:
Phone:

What Program Degree are you enrolling in? (if a double please list your Computing Degree)?

The Program begins during O-Week on Friday 28th Feb with a Photo Scavenger Hunt and Welcome Party (2:00-8pm). Will you be available?

Yes
No

I'd like to be a mentee