Academic Peer Mentorship Program



Academic Peer Mentorship ProgramMentor ApplicationFirst Name:Last Name:UofSC Email Address:Phone Number:Home City, State, Country:Tell us about yourself so we can successfully match you with a mentor/mentee.Academic YearFreshmanSophomore MajorMinorRace/Ethnicity AsianAmerican Indian/Alaska NativeBlack/African AmericanHawaiianHispanic/LatinxWhite/CaucasianPrefer not to answerOther:GenderFemaleMaleNon-binaryIntersexPrefer not to answerOther:Please share why you would like to serve as an Academic Peer Mentor. List your current mentorship, peer leadership, organizational leadership and other roles on campus.What other commitments do you expect to have during your time as a Peer Mentor over the coming academic year?For example, do you have a job or internship, plan to study abroad or join a club?483489034925Continue on next page.00Continue on next page.Page 2 of 2How would you describe your personality and your interests? Are you more outgoing or reserved, are you an anime lover, are you an avid sports fan, do you have any hobbies?What is the best piece of advice that you would offer a new student? What are the best places to eat, best way to choose an instructor, how to get involved?Share your preferences for potential partner.*How many mentees would you be comfortable having assigned to you?123OtherMajor PreferenceI prefer only to be matched with a mentee of the same majorI prefer NOT to be matched with a mentee with the same majorNo preference, I’m open to being matched with any menteeRace/Ethnicity PreferenceI prefer only to be matched with a mentee of the same race/ethnicity as meI prefer NOT to be matched with a mentee of the same race/ethnicity as meNo preference, I’m open to being matched with any menteeGender PreferenceI prefer only to be matched with a mentee of the same gender identityI prefer NOT to be matched with a mentee of the same gender identityNo preference, I’m open to being matched with any mentee ................
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