UPLiFT Application

Thank you for your interest in our UPLiFT Program. We believe in providing our Man Up cohort members with the best support possible. You can find the qualifications for our UPLiFT mentors here. If you feel as though you have something of value to offer our Fellows, please take the first step by filling out the application below. Once your application is complete, please be on the lookout for an email from one of our team members.

First Name

Last Name

Phone

Preferred Method of Contact

Please check the highest education completed Undergraduate DegreeGraduate DegreePHD

Please list your college major

Final GPA

Year Graduated/Expected to Graduate

Race or Ethnicity

Current Occupation

Are you proficient in a 2nd Language? YesNo

Please complete the items listed below: List the names of the three references you have asked to submit a recommendation form on your behalf. When you submit this form, emails with instructions will be sent to the recommender automatically.

First Recommender

Name

In what capacity does this person know you?

Second Recommender

Name

In what capacity does this person know you?

Third Recommender

Name

In what capacity does this person know you?

Submit a one-page, double-spaced writing sample on "Why I Want to Become an UPLiFT Mentor" (Upload File)