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Annual Meeting Mentor Program Student Application  

2010 SME Mentor Program
Student Application Form

Deadline: February 12, 2010

Students whose applications are received after February 12th, will be assessesd a $10.00 late fee that will be applied to the 2011 Student Forum.

 
*Required Fields
 
*Last Name
 *First Name
*Address
*City
 *State/Province
 *Country
 *ZIP Code/PC
*Daytime Phone
 Daytime Fax
*Email
 *Gender
Male Female
*College/University/Institution currently enrolled
Degree(s) Earned
Course(s)
*Major Field of Study
*Expected Graduation Date
 
Commodity Interest (indicate 2 in order of preference)
Primary Interest Secondary Interest
 
Discipline Interest (indicate 2 in order of preference)
Primary Interest Secondary Interest
 
Which do you normally attend during the SME Annual Meeting? (Check all that apply)
Keynote Session Welcoming Luncheon
Exhibit Coal Division Luncheon
Industrial Minerals Division Luncheon Mining & Exploration Division Luncheon
SME Dinner Environmental Division Breakfast
Mineral & Metallurgical Processing Division Luncheon
 
Number of SME Conferences Attended
Have you participated in the Mentor Program Before? Yes No
If Yes, provide name of Mentor  
 
Would you like to have the same mentor from last year? Yes No
 
Specific Interest (indicate 3 in order of preference)
 
Please answer the following questions:
 
List Student Chapter committees and activities you are involved with.
 
List other types of activities that you participate in on/off campus.
 
List your outside interests.
 
In 25 words or less, explain what you hope to gain from attending the SME Annual Meeting and why it is important for you to have a mentor.
 
 
 



 
 
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