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Annual Meeting Mentor Program Student Application  

2012 SME Mentor Program
Student Application Form

Deadline: January 20, 2012

Students whose applications are received after January 20th, will be assessesd a $10.00 late fee that will be applied to the 2013 Student Forum.


*Required Fields
*Last Name
*First Name
*ZIP Code/PC
*Daytime Phone
Daytime Fax
Male Female
*College/University/Institution currently enrolled
Degree(s) Earned
*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.
To confirm your identity please enter these letters/numbers below:
Enter the security code into the field below.

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SME is a member society of OneMine, the SME Foundation, and the
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