Global Ties Mentor Request Form

All information provided will be treated confidentially and will be used exclusively for the specific purpose of matching the Global Ties Mentors (GTMs) with undergraduate international students (members of the Class of 2022, transfer, or current students).

The more information you are comfortable sharing through this application, the better we will be able to meet your needs with a mentor. Don’t forget to take a look at this year’s mentors!

*indicates a required field

Full Name: *

Personal Email: *

Pitt Email: *

Country of Citizenship: *

Gender Identity: *

Academic Year: *

First Language: *

Second Language (if any)

Third Language (if any)

Have long have you lived in the USA? *

Have you ever lived away from your parents/family? If yes, where?*

Will you be living off campus? *

Intended academic major(s) *

Would you describe yourself as:*

Please select your favorite activities *

You may select multiple choices.

List the types of activities you participated in and enjoyed at your last school:*

Would you prefer your Mentor to be: *

Would you prefer support and extra mentoring advice on lesbian, gay, bisexual,
transgender, queer and intersexed LGBTQI issues at Pitt?
Yes No

Would you like a mentor during your: *

Would you prefer your Mentor to be: *

Is there anything else you would like to share with us about yourself
that you think would be helpful in making a good mentor match for you?

Please list any additional questions you have about the Global Ties program: