Advising Intake Form Advising Intake Form Name(Required) First Last Your Email(Required) If you are a student, use your Mines email. If you are an alum, use an email you check regularly. Date(Required) MM slash DD slash YYYY CWID(Required)Current Degree Type(Required) B.S. M.S. PhD Other Month and Year You Began at Mines(Required)Anticipated Graduation Month and Year(Required)Your Major(Required)Current GPA(Required)Relevant Scholarships/Awards You've Received, if any(Required)Languages other than English you speak, if any(Required)List any relevant research experiences, leadership activities, internships or work experiences, publications or presentations, etc.(Required)Briefly describe your career aims (what you want to do) and your academic/professional plans (how you want to do it)(Required)Fellowships/Scholarships of Interest (it's okay if you don't know yet)(Required)Potential Recommenders/References(Required)Simply list a couple names, the idea of this is just to get you brainstorming.Any comments or questions?