Peer Mentor Volunteer Form
Thank you for your interest in volunteering as a Peer Mentor with Lost&Found's Peer2Peer Mentoring Program! Please let us know a little about yourself by answering the following questions.
Name
*
First Name
Last Name
School:
*
Black Hills State University
Northern State University
South Dakota School of Mines and Technology
South Dakota State University
University of South Dakota
Western Dakota Technical College
Augustana University
Lake Area Technical College
Southwest Minnesota State University
University of Minnesota - Twin Cities
Email (please use your school email address):
*
example@example.com
Year in school:
First Year
Second Year
Third Year +
Year in school: (we encourage first and second year students to consider joining this program as a mentee.)
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 fewer credits)
Sophomore (30-59 credits)
Junior (60-89 credits)
Senior (90 or more credits)
Graduate Student
Unsure
What are you studying?
*
Are you a college athlete?
*
Yes
No
What sport do you play?
Are you an international student?
*
Yes
No
Which country are you from?
Are you an online student with limited access to your physical campus?
*
Yes
No
Are you a military veteran?
*
Yes
No
Your age:
*
Gender Identity (This field is not required):
Female
Male
Transgender Female
Transgender Male
Agender, Nonbinary, or Gender Fluid
Prefer not to say
Other
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.)
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
Other
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
Sports
Other
Please list previous and current activities (please include high school, college, community organizations, etc.).
*
Please list previous and current leadership involvement (please include high school, college, community organizations, etc.).
*
Why are you interested in becoming a peer mentor?
*
As a mentor, what skills/knowledge will you utilize to best support your mentee?
*
How did you learn about the Lost&Found Peer2Peer Mentoring Program?
*
A professor sent an email and/or spoke about this program during class.
I learned about it through a different club or student organization.
A guest spoke about this program during one of my classes.
A friend told me about the program.
My advisor or other staff member at my school told me about this program.
Other
Have you completed the Lost&Found Advocates Program?
*
Yes
No
I am currently participating in this program.
I don't know what this is, but I would like to learn more!
Please answer the following questions based on your feelings over the past four weeks. 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.
Submit
Should be Empty: