School of Architecture Mentor Program
Student Application Fax Form



Date


To

University of Southern California
School of Architecture
ATTN: Academic Advisement
Watt Hall 204, Los Angeles, CA 90089
Tel: 213.740.2090

FAX Number: 213.740.8884

From

Name
Local Address


Permanent Address


Local Phone #
Permanent Phone #
Email Address

Year Level


Is there a special request you would have of your mentor (e.g. someone of a particular ethnicity, gender, life experience, or someone who specializes in a particular aspect of
the field)?
Special requests will be granted when possible.








How do you hope to benefit from the mentor program?