Link Peer Mentoring Program Mentee Application 2016

advertisement
Link Peer Mentoring Program
Mentee Application 2016
PROGRAM INFORMATION
What is Link?
The Link Peer Mentoring Program is designed to assist first-year and transfer students from underrepresented
and underserved populations with their college transition by pairing them with a peer mentor who provides
guidance, support and resources. Benefits to participation include learning about resources and opportunities
at the University of San Diego (USD); attending educational, cultural and social events sponsored by the
United Front Multicultural Center (UFMC) and other campus organizations and departments; and meeting
other students, faculty and staff.
The Program’s goals are: (1) to enhance retention among underrepresented and underserved student
populations; (2) to offer leadership opportunities; (3) to provide resources and a support system for new
students as they transition into USD’s academic and student life; (4) to inspire the development of friendships
and community; and (5) to encourage student involvement in campus and community events.
How does the program work?
During the summer, future USD first year and transfer students are recruited into the program and matched
with peer mentors according to common interests and characteristics such as major, extracurricular activities,
hometown, hobbies and/or other mentor/mentee preferences. Mentees (new and transfer students) will
participate in a number of activities during the fall semester, including the Link Welcome Orientation & BBQ,
Link meetings, and other social and cultural events sponsored by the UFMC.
What are my commitments?
 Active involvement during the fall semester and participation in the program’s activities.
 Request guidance about campus resources, coursework, career goals and other educational and social
opportunities, as needed.
 Attend Link Welcome Orientation & BBQ (Tuesday, August 30, 2016 from 5-7pm).
How do I apply to be a Mentee?
 Must be a first-year or transfer USD student in the Fall 2016.
 Complete and turn in the application by August 12, 2016 deadline via one of the following:
o E-mail to Annie Guanciale at annieg@sandiego.edu
o Mail paper copy to University of San Diego, United Front Multicultural Center SLP 418, 5998
Alcala Park, San Diego, CA 92110
o Complete online at www.sandiego.edu/unitedfront (click on the Leadership tab, Link Peer
Mentoring, and then Mentees)
 After applications have been reviewed, the Link Coordinator will contact applicants.
Questions?
All questions regarding the program should be directed to Annie Guanciale at annieg@sandiego.edu or 619260-2395.
DEADLINE TO APPLY IS AUGUST 12th, 2016
Part I: Background Information (please print legibly)
Last Name: ___________________________________ First Name: _________________________________
Middle Initial: ______ Preferred Name: __________________ DOB (mm/dd/yyyy): ____________________
Gender: _______________________________ Race/Ethnicity: ____________________________________
Languages spoken/written: __________________________________________________________________
USD ID Number: ________________________
Email: ____________________________________
Major: ________________________________
Minor: ____________________________________
Class Standing:
☐ First-Year
or
☐ Transfer Student
If transfer student, how many completed semesters? ____________________________________________
Expected Graduation Date (mm/yyyy): __________________________________________________________
Campus/Local Address (if known):
Home Address/Summer (required):
_______________________________________
_______________________________________
City:___________________________________
City:___________________________________
State: ________ Zip: ____________________
State: ________ Zip: _____________________
Cell Phone: _____________________________
Summer/Home Phone: ___________________
Part II: Short Answer
Please type or write the answers to the following questions. Please write approximately 3 sentences and be very specific
as these responses are used for matching purposes.
1. What are you looking for in a mentor (i.e. academic support with classes, connecting to student clubs, meeting
new people, learning about USD departments, etc.)?
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
2. What areas do you know or feel that you will need assistance with when you arrive at the University of San
Diego?
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
3. What are you looking to get out of joining Link?
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
4. List hobbies and interests.
__________________________________________________________________________________________________
__________________________________________________________________________________________________
5. List activities that you would like to do with your mentor.
__________________________________________________________________________________________________
__________________________________________________________________________________________________
6. In your own words, describe yourself and your personality (please be specific).
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
7. What is the best way to reach you (i.e., text, email, call, Facebook, etc.)?
__________________________________________________________________________________________________
Part III: Preferences
Please check one box from each set of four.
“I would describe myself as…”
1. ☐ Enthusiastic
4. ☐ Adventurous
“I would prefer a Mentor who is…”
1. ☐ Enthusiastic
4. ☐ Adventurous
☐ Daring
☐ Insightful
☐ Daring
☐ Insightful
☐ Diplomatic
☐ Outgoing
☐ Diplomatic
☐ Outgoing
☐ Satisfied
☐ Moderate
☐ Satisfied
☐ Moderate
2. ☐ Friendly
5. ☐ Sociable
2. ☐ Friendly
5. ☐ Sociable
☐ Accurate
☐ Patient
☐ Accurate
☐ Patient
☐ Outspoken
☐ Self-Reliant
☐ Outspoken
☐ Self-Reliant
☐ Calm
☐ Soft-Spoken
☐ Calm
☐ Soft-Spoken
3. ☐ Talkative
6. ☐ Jovial
3. ☐ Talkative
6. ☐ Jovial
☐ Controlled
☐ Precise
☐ Controlled
☐ Precise
☐ Conventional
☐ Direct
☐ Conventional
☐ Direct
☐ Decisive
☐ Even-Tempered
☐ Decisive
☐ Even-Tempered
Part III: Acknowledgement
I understand that in order to be considered for participation, this application must be submitted by the deadline of
August 12th, 2016. Late applications are considered, but space is not guaranteed. I further acknowledge that the
information on this application is true and accurate and is a reflection of my own work. If accepted, I understand that I
am responsible for signing a contract with this program, which outlines expectations of me as a mentee.
______________________________________________
___________________________________________
Signature of Applicant
Date
*Applications should be emailed to ufmc@sandiego.edu or annieg@sandiego.edu or mailed to the University of San
Diego, United Front Multicultural Center SLP 418, 5998 Alcala Park, San Diego, CA 92110.
Download