Northern Illinois University
Alumni Clusters Volunteer Peer Mentoring Program
Peer Mentor Application 2015-2016
SUBMISSION DEADLINE: MONDAY, MARCH 16, 2015
POSITION SUPERVISORS
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NIU Coordinator
Local Community College
Program Coordinator
POSITION START/END DATES
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Summer 2015 – Spring 2016
POSITION REQUIREMENTS /COMPENSATION
Mandatory Meetings:
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Mentor meet and greet focus group
Monday, July 13
Training @ NIU
Monday, August 3 & Tuesday, August 4
10am-3pm
Monthly check-in meetings during fall 2015
Exceptions to the above commitments will not be
considered.
MINIMUM QUALIFICATIONS
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Candidate must have an associate degree
from one of the top ten feeder community
colleges.
Candidate must be a student of Junior or
Senior standing by Fall 2015.
Candidates must be in good standing at
their community college and NIU.
Candidate with previous experience with
and knowledge of NIU services and
resources is preferred.


SKILLS AND ABILITIES
Interpersonal skills:
 Clear communicator
 Effective in a team environment
 Confidentiality
 Empathetic listener
Problem-solving skills:
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Comfortable with multi-tasking
Patience
Persistence
Creative thinking
Time management
Knowledge of:


JOB DESCRIPTION
Participate in training seminars during
summer and fall 2015.
Develop a friendly relationship with
your assigned group of 1-5 incoming
transfer students from your previous
community college.
Communicate and participate in a
minimum of three outreach activities
with your assigned students during the
first semester as a means of helping
them adjust to the new college
environment.
Appropriately refer new students to oncampus and community support
services.
Attend and participate in focus group
meetings related to the Alumni Clusters
peer mentoring program.
Northern Illinois University
Prior experience with campus and
community services
Northern Illinois University
Alumni Clusters Volunteer Peer Mentoring Program
Application for Peer Mentors 2015-2016
SUBMISSION DEADLINE: MONDAY, MARCH 16, 2015
Please type or print clearly. Submit this application along with a professional resume. For efficient
communication, you are asked to have an active e-mail account in which to receive additional information
throughout the process. Please return this application to: (NIU Coordinator).
PERSONAL DATA
Name:
Last
First
Student ID:
Date of Birth: / /
M.I.
Current class level:
Major(s):
Minor(s):
___
Local Address:
Street Address/Dorm
Apt/Room No.
Cell Phone:
City
Other Phone:
E-mail:
What is your preferred method of contact? Email__
Home Phone__ Cell Phone __
Mail __
When is it best to contact you?
Number of semesters at Northern Illinois University:
For the purpose of pairing new NIU students with Peer Mentors, please respond to the following:
I am
and would prefer to work with a new student(s) who is/are
male/female
.
male/female/no preference
How many new students would you prefer to work with?
Range from 1 to 5 students
What community college did you attend? __________________________________________________
Did you graduate? Yes ____ No ____
Please provide schedule of availability for Fall 2015 semester.
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
IMPORTANT DATES TO REMEMBER:
 SUBMISSION DEADLINE is Monday, March 16, 2015.
 Group Interviews for selected candidates will be held Monday, April 13 and Tuesday, April 14.
 Mentor Meet & Greet Focus Group will be held Monday, July 13, 2015 at NIU.
 Mentor training will be held Monday, August 3 and Tuesday, August 4.
Northern Illinois University
Alumni Clusters Volunteer Peer Mentoring Program
Application for Peer Mentors 2015-2016
SUBMISSION DEADLINE: MONDAY, MARCH 16, 2015
PERSONAL STATEMENT
How did you hear about this position?
Why are you interested in this volunteer opportunity?
What do you think the role of a Peer Mentor is?
What co-curricular activities have you been involved in (on-campus or off)?
At your community college:
NIU:
How do you see this position enhancing the experience of new transfer students as well as your
experience at Northern Illinois University?
Northern Illinois University
Alumni Clusters Volunteer Peer Mentoring Program
Application for Peer Mentors 2015-2016
SUBMISSION DEADLINE: MONDAY, MARCH 16, 2015
EMPLOYMENT/VOLUNTEER EXPERIENCE
Employer:
Name and Title
Phone:
Street Address
E-mail:
City, State, Zip
Website:
Position/Duties:
Employer:
Name and Title
Phone:
Street Address
E-mail:
City, State, Zip
Website:
Position/Duties:
Employer:
Name and Title
Phone:
Position/Duties:
Street Address
E-mail:
City, State, Zip
Website:
Northern Illinois University
Alumni Clusters Volunteer Peer Mentoring Program
Application for Peer Mentors 2015-2016
DEADLINE SUBMISSION: MONDAY, MARCH 16, 2015
REFERENCES
Please list two references (including one faculty, staff, or administrator).
Name:
Phone:
Position:
E-mail:
Name:
Phone:
Position:
E-mail:
If possible, list one specifically work-related reference:
Name:
Phone:
Position:
E-mail:
APPLICANT SIGNATURE
I have completed the application honestly and to the best of my ability. I understand and agree to attend a
summer training session, monthly meetings during the Fall 2015 semester, and an end of semester wrap up focus
group session. I give (NIU Coordinator) and (Your Community College Program Coordinator) at (Name Community
College) permission to verify my records for academic, disciplinary standing, and enrollment status.
Signature (required):
PLEASE REMEMBER: Attach a copy of your resume with your completed application.
Date: