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Home > News & Events > Veteran Student Mentee Application

Veteran Student Mentee Application

Please complete this form in its entirety. Should you encounter an error please e-mail: ucc@rci.rutgers.edu.

General Information
01. Name
 
02. Gender
 
03. RUID
 
04. Career/Job Interest
 

Contact Information
05. Rutgers Campus Affiliation
 
06. E-mail Address
 
07. Phone Number(s)
 
 
08. Home Address
 
 

Military Information
09. Branch
 
10. Ranks
 
11. Years of Service
 
12. Begin Date (mm/yyyy)
 
13. End Date (mm/yyyy)
 
14. List assigned conflicts/missions/wars
 
15. List expectations of the mentoring program
 
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For technical questions or comments about this site, contact vmars@echo.rutgers.edu.
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Last Updated: 07/16/2009

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