Peer Mentor form

Are you a returning Peer Mentor?

Name:

PID:

Please Select One:

I would like to return as a peer mentor for Fall 08-09

I will not be returning as a peer mentor for Fall 08-09

Not interested in returning as a Peer Mentor in Fall 08-09? Your form is complete after you click SUBMIT at the bottom of the page.

Current Address:

Phone:

Email:

Major:

Year/Standing:

Accumulative GPA:

Why do you want to return as a peer mentor? How will you be effective in the position another year? How will you overcome some of the past challenges you faced as a peer mentor?

Please write 1-3 paragraphs:

Will you be available Summer Session?:

1st session

2nd session

entire summer

not at all

PLEASE NOTE: It is NOT a requirement of the position that you be available in the summer.

Will you be available on 09/04/08?:

Yes

PLEASE MARK YOUR CALENDAR: Mandatory training is tentatively scheduled for September 4, 2008.

Please rank the following choices (with one (1) being the most desired community and three (3) the least desired community). I prefer to work with...

A) communities associated with my major:

B) undecided communities:

C) general communities: