Men of Delta Online Application

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Men of Delta 
We, the Men of Delta  , are a group of male students who have made a commitment to be successful in
our education and professional careers. We will be actively involved in community engagement and in all
aspects of learning. We will also utilize every resource that is available to help complete our goals at Delta
College. We will be a support to each other and promote a one for all and all for one attitude regarding our
success.
Personal
Date: ______________ Name: _________________________________________
Student Number: ___________________________
DOB: _________________
Address: _______________________________________________Telephone: ______________
Best way to contact you: _______________________________________________
Major/Program of Study: _______________________________________________
Circle each goal you plan to accomplish? Graduate from Delta College |
Transfer
If you plan to transfer, which institution(s) are you interested in ____________________________
Semester Started at Delta College_____________________
Number of Credits Completed: _______________________
What do you believe is your strongest skill(s)?
In which of these areas would you like to achieve greater success?
Self-Confidence
Life Goals
Awareness of Campus Resources
Stress Management
Budgeting my Money
Academic Support
Job Skills
Motivation
Asking for or Receiving Help
Scholarships
Culture Sickness (feeling like an Outsider)
Other ______________________________
I______________________________ confirm that I am voluntarily participating in the Men of Delta 
program and agree to respect of the guidelines set by the advisors and will make every effort to be involved in
the activities recommended for my general growth and academic success.
MU OMEGA DELTA (ΜΩΔ)
Group Agreement
STUDENT REQUIREMENTS

Minimum of 6 hours tutoring per week in on campus tutoring center

Commit to an individual and group goal to receive a B- grade or better in every course this
semester

Meet with your instructors (during office hours) within 1 week of start of class
o If maintaining a B- or higher schedule a monthly meeting with your instructor to
monitor your progress
o In classes in which you have a C or lower schedule weekly meetings with your
instructor to get help to improve your grade or meet with instructor/professor per
their request

Give mentors/coaches permission to consult with your instructors/professors regarding
academic progress and attendance

Be on time for all classes, events and presentations. Be an active participant in all classes,
events and presentations

Attend 75% of all meetings/presentations/ community events specified by Mu Omega
Delta coaches

Communicate (by phone/text/face-to-face) with Mu Omega Delta coaches when
scheduled to do so

Not to engage in any activities that would blemish your image or the image of our group.
Activities that fall into this category are as follows, but not limited to:
o Acting in any manner deemed by Delta College to be disrespectful in nature on any
Delta College Campus
o Fighting or otherwise acting in an aggressive manner toward professors, students,
coaches, or Delta College staff
o Wearing inappropriate clothing (sagging pants, offensive language, gang
paraphernalia)
o Using inappropriate language toward students, professors or Delta College staff
MENTOR/COACH REQUIREMENTS

Contact mentees by phone/text at least 1 X per week

One-on-one contact 1 X per month

Attend 75% of all meetings/presentations/ community events specified by Mu Omega
Delta coaches

Communicate with student instructors/professors regarding student grades, behavior, etc.

Write reference letters for employment, internships, scholarship and leadership programs

Assist with job preparation and job readiness skills

Be engaging, be honest, and be helpful. Provide support for any male student who may
benefit from having a mentor/coach or being a peer mentor/coach

Organize assistance for any male students who makes the commitment to set goals for
academic improvement
I, _______________________________________________, do hereby agree to abide by
the student requirements of this group agreement set forth by the Mu Omega Delta
Program of Delta College.
I, _______________________________________________, do hereby agree to abide by
the mentor/coach requirements of this group agreement set forth by the Mu Omega Delta
Program of Delta College.
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