FastStart Altoona

Mentee Application

Please fill out the form completely. If you have any questions or problems, please contact the office of Institutional Equity and Diversity at 814-949-5053.

First Name:
Last Name:
Date of Birth:
PSU ID:
Email Address:
Cell Phone:
Alternate Phone:
Anticipated Major:
T-shirt Size:
Permanent Address:
City: State: Zip Code:
Local Address:
City: State: Zip Code:

Favorite Books:

Favorite Television Shows/Movies:

Favorite Foods:

Hobbies:

Music Interests (Genre or favorite artists):

Sports Interests (indicate whether you watch or play):

What else do you do in your spare time?

What are your academic strengths?

In which areas would you like to see improvement?

Security Code: 61443