Mentoring, Opportunities, and Resources at Emory (MORE) Mentee Signup

Thank you for your interest in participating in the MORE Mentoring Program. This is a great opportunity for first-year students to transition to the Emory community while making meaningful connections with other students, faculty, and staff.

Students interested in being MORE Mentees should complete the form below. Please contact Victoria Alarcon (victoria.alarcon@emory.edu) with any questions or concerns.

Personal Information
Name * First Last
Preferred Name (if different from above)
Emory ID *
Maximum of 7 digits allowed. Currently Entered: 0 digits.
Please enter your Emory ID. This can be found on your OPUS account.
Are you an International Student? *

Are you an International Student? Yes No
Email Address *

Please provide your university email address and not your personal email address. All MORE communications will be sent to your Emory email.
Contact Number * - ### - ### ####
International Phone

If you have an international phone number, please enter it here.
Hometown (City/State/Province) *
Date of Birth * / MM / DD YYYY
Anticipated Academic Coursework *

Anticipated Academic Coursework Pre-Health/Science (Medicine, Public Health, Physical Therapy, etc.) Pre-business (Economics, Marketing, Accounting, etc.) Humanities & Social Sciences (English, Sociology, History, Psychology, etc.) Undecided Other
Identity-based Information
Race (select all that apply) *
Asian/Pacific Islander/Desi, Asian-/Pacific Islander-/Desi-American, Asian/Pacific Islander/Desi Heritage Black, African, African-American, African-Heritage Latina/o/x, Latin American, Hispanic Heritage Middle Eastern, Middle Eastern-American, Middle Eastern Heritage Indigenous, First Nations, Native American, American Indian White, European, European-American, European Heritage Multiracial, Biracial Prefer not to answer Another racial identity not listed (please specify)
Gender (select all that apply) *
Woman Man Non-binary Cisgender Trans Prefer not to answer Another gender identity not listed (please specify)
Pronouns (select all that apply) *
she/her/hers he/him/his they/them/theirs Another option not listed (please specify)
Emergency Information
Emergency Contact Name * First Last
Relationship to Applicant *
Emergency Contact Phone Number * - ### - ### ####
International Phone

If your emergency contact has an international number, please enter it here.
Dietary Restrictions *
Allergies *
Additional Questions
How did you learn about this program?
Emory Communications (email, social media, letter, etc.) Emory Website Student Other (please specify) Other (please specify)
Describe why you are interested in participating in the MORE Program. *
Maximum of 250 words allowed. Currently Entered: 0 words.
What are your expectations of a mentoring program? *
Maximum of 250 words allowed. Currently Entered: 0 words.
How would people close to you describe your personality? *
Maximum of 100 words allowed. Currently Entered: 0 words.
Are you available to attend the MORE Kick-off Event on Saturday, August 27? *

Are you available to attend the MORE Kick-off Event on Saturday, August 27? Yes No I'm not sure
Model Release Form

I hereby grant permission to the Office for Racial and Cultural Engagement photographers, film crew, and staff to take recorded statements, photographs, or film of myself during my participation in the Mentoring, Opportunities, and Resources at Emory program during the academic year.

I understand that these recorded statements, photographs, and film may be used by the Office for Racial and Cultural Engagement for educational training and office marketing without any liability on the part of the Emory University, its departments and/or employees. I understand that the interviewing and photographing/filming during this time are being carried out with my permission and consent and I assume full responsibility for the release of information about myself. I understand the sequences may be used for Digital Video Disks, CD-ROMs, video files, online submissions and podcasts for the purpose of teaching about student programming and non-commercial use.
Do you consent to the model release form (if 18 or older)? *
Yes No
Online signature of parent/guardian (if applicant is under 18 years-old) *

Mentoring, Opportunities, and Resources at Emory (MORE) Mentee Signup

Mentoring, Opportunities, and Resources at Emory (MORE) Mentee Signup

Personal Information

Identity-based Information

Emergency Information

Additional Questions

Model Release Form