Mentor Mentee Matching Form

Mentor Mentee Matching Form

To be paired with a peer mentor, please complete the form below to help us match you based on your needs and interests.
Name:

First NameLast Name
Preferred Name/Nickname:
Date of Birth:

MonthDayYear
Student ID:
Student Email:
Language proficiencies:
Are you interested in being a Mentor or a Mentee?
Your hobbies and interests:

Other
What best describes you?

Other
Professional interest or expertise:

Other
The role you would like your Mentor to take part in:

Other
Areas where you hope your mentor can make an impact:

Other
Have you had mentoring before?
What are your communication expectations with your mentor/mentee?

Other
Tell us something about yourself (ie. what brought you to CSM, what program you're pursuing, what your life is like outside of school, etc.):
Where do you see yourself in five years?
What are your expectations in this Mentoring program?
Is there anything else you think we need to know about you during the matching process?
By submitting this form you are applying to participate in the Peer-to-Peer Mentoring program at CSM. Please note that available spots in this program are limited. You will be contacted via email regarding your application status prior to the start of the program. Please check the following box to acknowledge this information.
Should be Empty: