MSP Enrollment Request

The information you provide in this survey will serve as your Mentored Study enrollment request.

Fuqua Facilitated List

For projects that were on the Fuqua Facilitated List, we will confirm with the mentor that they are willing to support your project.

Student Sourced
Your request will be reviewed, including any potential potential conflicts of interest based on Fuqua policies for this course. We will then send an email to your proposed mentor and will cc you on this email so that you can track along with the approval process. In this email, we will include a link to the client application to Mentored Study. Once the proposed mentor completes their application, we will arrange an diligence/onboarding call with the proposed mentor. At the conclusion of these steps we will approve or decline your request.

MSP Course Credits and Limits

Note: MSP is a 3 credit hour course which spans the full semester (Term 1 & Term 2). A maximum of 6 credit hours from MSP can count towards Fuqua graduation requirements, subject to the 15 credit hour total Experiential Learning cap.

First Name

Last Name

Duke email (first.last@duke.edu)

Student ID for registration (IMPORTANT: this is a 7 digit number from your Duke Hub account, NOT your Duke unique ID).

Do you have a student visa? We will use this information to coordinate with our International Programs Office.

Yes
No

Indicate the Mentored Study cycle for this proposed project.

Summer Cycle (enter proposed start date below)
Fall Cycle (Fall 1 & Fall 2)
Spring Cycle (Spring 1 & Spring 2)

In this section, you will provide information about your proposed mentor and their organization.

Mentor Name

Mentor email

Mentor phone number

Name of the mentoring organization

Address of the mentoring organization

Website of the mentoring organization

Size of the organization: About how many full time employees work for this organization? If you don't, make your best guess.

No full time employees, only part time
1 full time employee
Between 2 and 5 employees
Between 6 and 10 employees
Between 11 and 25 employees
25+ employees

In this section we will ask you some questions about your connection to the organization.

How did you learn about this organization, and how did you get connected with them?

Have you been employed by this organization in the past? In this case, we are defining employment as any paid work or substantial unpaid project work, such as an unpaid internship.

Yes
No
I'm not sure, and need to discuss this with you

Has the organization promised you future employment if you will take on this project? For clarification, we are not talking about any hopes you may have to work for this organization in the future.

Yes
No
I'm not sure, and need to discuss this with you

Do you have any ownership interest in this business?

Yes
No

Do you have a family relationship with anyone at the organization?

Yes
No