Mentee Sign-up

Peer2Peer Mentorship Program

We are excited to pair you with one of our trained peer mentors. In order to ensure a great match, please answer the following questions.
Please select your school: *
Name *

First Name Last Name
Email *
example@example.com
Age *
Year in school: *

First Year Second Year Third Year Fourth Year Fifth Year + Graduate Student
What is your academic status? (This is based on the number of credits you have completed.) *

Freshman (29 or less credits) Sophomore (30-59 credits) Junior (60-89 credits) Senior (90 or more credits) Graduate Student Unsure
What are you studying? (It's okay to write undecided if you have not yet declared a major.) *
Gender Identity: (This field is not required.)

Female Male Transgender Female Transgender Male Agender, Nonbinary, or Gender Fluid Prefer not to say
Sexual Identity/Sexual Orientation: (Your response to this question will be kept private and secure. Your response to this question will not be used for any discriminatory purpose. This field is not required.)
What race/ethnicity best describes you? (Your response to this question will be kept private and secure. Your response to this question will not be used for any discriminatory purpose. This field is not required.)
Are you a college athlete? *

Yes No
What sport do you play? *
If possible, would you like to be paired with a student athlete? *

Yes, I would like to be paired with a mentor from my sport. Yes, I would like to be paired with a mentor from a different sport. No, I prefer to be paired with a student who is not a member of university athletics. I have no preference
Are you an international student? *

Yes No
What country are you from? *
If possible, would you like to be paired with an international student mentor? *

Yes No I do not have a preference.
Are you an online student with limited access to your physical campus? *

Yes No
Do you have any specific mentor preferences? *

Yes, I prefer to meet with another online student. Yes, I prefer to meet with a mentor who is more connected with on campus activities. No, I don't have a preference.
Are you a transfer student? *

Yes No
What are your hobbies and interests? (Check all that apply.) *

TV & Movies Travel Volunteering Writing/Journaling Reading Gardening Cooking/Baking Video Games Board Games or RPGs Music Politics Cars Art Crafting Fitness & Wellness Healthy Eating Hunting Fishing Hiking/Nature Agriculture/Farming
What words best describe you? (Check all that apply.) *

Outgoing Organized Funny Intuitive Reserved Vibrant Career-oriented Empathetic Lively Passionate Reflective Assertive Confident Intelligent Creative Kind Bubbly Stoic Energetic Unique Shy Silly Athletic Thoughtful Quiet
Are you currently involved in any clubs or organizations at your campus? *

Yes. Yes, and I would like to be involved in more. No, but there are some I am interested in joining. No, but I would like to learn more about the ones available on my campus. No, and I'm not really interested in club or organization involvement.
Which clubs or organizations are you already involved in? *
Which additional clubs or organizations are you interested in joining? *
Which clubs or organizations are you interested in joining? *
What are some areas you hope your mentor will make an impact in your life? (Check all that apply.) *

Career exploration Professional networking Understanding of self and others Communication skills Making friends Stress management Time management Study skills Social support
What do you find are your strengths when dealing with a difficult situation? : *
What are your expectations or goals for this mentoring program? *

Please answer the following questions based on your feelings over the past seven days. Please respond to each item by marking one box per row. This scale is meant to help us improve our programming. Please answer as honestly as possible. You'll be asked the same questions again at the end of the program. (This scale is a modified version of the Brief Resiliency Scale from Ohio State University.) *

	Strongly Disagree	Disagree	Agree	Strongly Agree
I've been able to bounce back quickly after hard times.
I have a difficult time making it through stressful events.
It takes me a long time to recover from a stressful event.
It is hard for me to snap back when something bad happens.
I usually come through challenging times with little difficulty.
I tend to get over set-backs in my life with ease.

Should be Empty:

Peer2Peer Mentorship Program