The purpose of the alliance between NKU Latino Student Affairs and the Kroger Company is to create a Student Mentor Program that promotes and enhances retention and academic success. Please keep in mind that you don't have to belong to a specific ethnic group/minority to participate. The program is devoted to the success of NKU students.

Please complete the following information form as accurately as possible. If you have any questions or comments, do not hesitate to contact Latino Student Affairs at 572-5821 or 572-6013

 
 
 
 
 
 
 
 
 
 
 

BEST WAY TO REACH YOU:

BEST TIME TO REACH YOU

Education, Experience and Extra-Curricular Activities

COLLEGE(S) ATTENDED:

PROGRAMS OR MAJOR(S):

GRADUATE OR PROFESSIONAL SCHOOLS ATTENDED:

GRAD SCHOOL PROGRAMS OR MAJOR(S):

WHAT IS YOUR POSITION WITHIN KROGER COMPANY?

Please explain why you want to be a mentor. Include strengths, special skills, and contributions you can make
to students as a mentor.

Matching Interest Information

Please list three of your hobbies:

Do you have any special requirements for your matching mentee?

Please list any additional comments:

CONFIDENTIALITY AGREEMENT:

All the information in this application shall be confidential and for the sole use of the NKU Latino Student Affairs office.