Peer Mentor Application

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

PID (Numbers Only)*

Date of Birth*

Email*

Phone*

Cumulative GPA*

Class Standing*

Major/Minor*

Are you available to participate in two program meetings per month?*

Are you available to meet with your mentee at least two times per month?*

Will you be able to attend the orientation session scheduled during the 3rd week of the semester?*

Will you be able to attend training workshops?*

Are you available to hold a key position in POMP (POMP Coordinator, Event Coordinator, Social Media Administrator, Newsletter Editor, etc.)?*

What will make you a great candidate for this role?

What term will you be graduating