Boulder-CU Leadership Program Application

Thank you for your interest in mentoring with the Boulder-CU Leadership Program. The 2025–2026 cycle is already underway, so new applicants will be added to our waitlist for the next available mentee. While we can’t guarantee a match this year, we strongly encourage you to apply—mentors who join now will be guaranteed a student in the 2026–2027 cohort.

Please contact Jessi Follett��with any questions.

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Name

Professional/Academic Suffix

Job Title & Company (Retired if applicable)

Phone

What is your LinkedIn public profile address, professional website, or business link ? (If not applicable, put N/A)

Tell us a little about your professional background and some interesting facts that you think prospective mentees may want to know about you. (please limit your response to 150 words as it will be used for your bio)

Please offer a few words of advice to students based on your leadership experiences. (please limit your response to 150 words)

Please upload a good quality headshot that we can use for your bio.

One file only.
5 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf.

Are you willing and able to commit to a 14-hour requirement for this program?

��Yes

��No

Have you ever been convicted of a felony?

��Yes

��No

I agree to comply with CU Boulder's Discrimination & Harassment policies.

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��I agree

Referred by:

Please explain

Reference Email Address

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Boulder-CU Leadership Program Application