Last Name:   First Name:

Berry ID:   

Cell Phone:  

Campus Box:  

Home Address:  


GPA:        Major:  

Campus clubs and organizations in which you are involved:


Student work experience (list all, beginning with most recent):


Leadership positions:

Briefly discuss why you would like to be a First-Year Mentor and why you think you would be a good choice for this position.

All mentor applicants must participate in a group interview.  Please indicate your preferred date.


In addition to your application, we require references from three people, at least two of whom are Berry College Faculty or Staff.  Please be sure to sign the reference form before delivering to your references.  All are reference forms are due by February 19, 2018.


 Please list your references below:

Berry Faculty/Staff 

Berry Faculty/Staff



Application Deadline: February 15, 2018