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ACADEMIC SUPPORT & SERVICES

PDFMP | Scholar Profile

First Name:

Last Name:

Student ID:

U of M E-mail:

Address:

City:

State:

Zip Code:

Phone Number:

College:

Major:

Minor:

Campus Address

Campus Phone Number:

What is your ethnicity (optional)?

List your Academic Interests:

Hobbies/Outside Interests:

List Scholarships you Received:

Personal Preferences:(Show priority for your preferences for your faculty mentor)

None

Academic Interest

Faculty

Male Faculty

Female Faculty

Mentor Location

MPLS

St Paul

Hobby/Interest

Other

Are you interested in having a faculty mentor for three semesters during your freshman and sophomore years?

Yes

Are you a first-generation student (your parents did not attend college)?

Yes

Are you willing to commit to attending monthly PDFMP activities?

Yes

Have you participated in Post-Secondary Enrollment Options (PSEO)?

Yes

Do you have any research experience?

Yes

if yes please describe

Why do you wish to participate in the PDFMP program?

Name of faculty member (if known):

Department:

Are you willing and able to participate in a research project if assigned to a faculty mentor?

Yes

Briefly describe your academic/research interest(s)

Are you willing to participate with fellow PDFMP students in at least one community service outreach event?

Yes

Would you like to join a student organization comprising of fellow PDFMP Scholars who gather for volunteer and social events and other activities?

Yes

Do you intend to pursue a graduate or professional degree within three years after attaining your baccalaureate?

Yes

Number of college credits completed by the beginning of your freshman year:

My intended profession is:

What type of community service project would interest you?

ACADEMIC SUPPORT & SERVICES

PDFMP | Scholar Profile

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