First name:

Last name:

Birthdate (yymmdd):

Mailing address:

Phone:

Cellphone:

E-mail:

Main subject:

I have been an Int. Student's mentor before:

Yes
No

I have leadership experience (if yes, specify how many months):

Yes months
No

I have had international experience from a Student Union, Student Nation, other organisation or Erasmus Student's Network :

Yes
No

Recreational pursuits:

Wishes regarding the mentorsgroup
(not guaranteed):

Expected Student Union membership next semester

Student Union membership Samhällsvetarkåren Humanistkåren TLTH Lundaekonomerna Juridiska Föreningen Medicinska Föreningen LUNA Other Student's union

I can speak the following languages: