EMPower Mentee Application
Please provide the following contact information:
Applicant’s Name: ______________________________________________________________
Address: ______________________________________________________________________
Telephone: ____________________________________________________________________
Email: ________________________________________________________________________
Social Media: __________________________________________________________________
Preferred method of contact: Telephone_____ Email _____ Social Media _____
ABOUT THIS APPLICATION:
Becoming a Native American STEM mentee represents the beginning of a powerful journey.
Many mentors/mentees end up forming relationships that last far beyond the mentoring experiences. They often become friends, allies, and lifelong colleagues in STEM. The mentoring experience for Native Students is often different than that of mainstream students. The values orientation of Native students is sometimes subtly and sometimes dramatically different than that of the University. Research and experience has shown that those who have navigated these
challenges themselves are best suited to assist others. The STEM fields also present their own unique challenges and opportunities for Native students. The challenges are often easy to see while the opportunities may appear unclear, distant or even invisible. Your mentor brings training and is a link to university support and perhaps most importantly has successfully made
the journey themselves.
These considerations make this a somewhat different application. We pay special attention to
“the match” of mentee and mentor. Tribal, social, cultural, leadership and communication styles are a few factors we use. Please answer the questions to the full extent that you are comfortable, being specific helps. Completing this application represents your commitment to succeed for yourself, your family and community and we thank you.
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EMPower Mentee Application
To help facilitate an effective mentor/mentee match, please respond to the following:
1.
Reason (s) for wanting to be part of the program:
2.
Provide a brief summary of your interests, hobbies, employment, experience, etc.
3.
Is there a particular area field of study you would most like to work on with a mentor? If so, please provide details:
Time Requirements:
4.
We require one hour each week to be set aside to meet with your mentor. Time spent outside of this requirement will vary according to the needs and desires of each mentor/mentee pair.
Is it possible for you to provide this time for the program? Yes____ No____
*Once a month in October and November we will have a guest speaker or skill building event and we ask that you please attend. These meetings take place in the evening and dinner is provided. In the instance that you have little ones, they are always welcome.
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EMPower Mentee Application
5.
The AIRO mentoring program will try to match mentees with mentors of similar background if requested.
Which tribal groups/communities/traditions/cultures do you have the most familiarity with?
Which tribal language (s) do you have the most familiarity with or consider to be your primary tribal language affiliation?
6.
What characteristics would you be looking for in a mentor?
7.
Please share additional thoughts, comments or recommendations. Thank you.
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EMPower Mentee Application
In order to best achieve the best match for mentor and mentee we ask you to fill out the following communication and cultural values survey. All answers are a continuum and there is no right or wrong answers. Please place and X nearest to the value you share or answer that best represents your feelings, experiences, or views.
INDIVIDUAL FREEDOM \__ __ __ __ __ __ __/ GROUP CONSENSUS
DIRECTNESS \__ __ __ __ __ __ __/ POLITENESS
FAMILY OR COMMUNITY FINANCIAL SECURITY \__ __ __ __ __ __ __/ PERSONAL FINANCIAL
SECURITY
LISTENING SILENTLY \__ __ __ __ __ __ __/ SPEAKING FORCEFULLY
CHARGING AHEAD \__ __ __ __ __ __ __/ MOVING WITH A GROUP
SUPPORTIVE FAMILY \__ __ __ __ __ __ __/ SUPPORTIVE COMMUNITY
PREPARATION FOR THE FUTURE \__ __ __ __ __ __ __/ BEING IN THE MOMENT
TRIBAL IDENTITY \__ __ __ __ __ __ __/ INDIVIDUAL IDENTITY
FAMILY \__ __ __ __ __ __ __/ DETERMINED BY BIOLOGY FAMILY DETERMINES BY KINSHIP
(CULTURE)
WISDOM \__ __ __ __ __ __ __/ KNOWLEDGE
CALMNESS \__ __ __ __ __ __ __/ EXCITABILITY
QUIETNESS \__ __ __ __ __ __ __/ LOUDNESS
LEARNING BY OBSERVATION \__ __ __ __ __ __ __/ LEARNING BY DOING
NATURAL SPACES \__ __ __ __ __ __ __/ URBAN SPACES
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