GPS Mentor Request Form FY 2017
The Guidance Perspective Support (GPS) Program provides students with guidance to helpful information and resources, perspective of a fellow LGBTQ or similarly identified student, and support for dealing with life issues. Please answer a few short questions so that we may match you with the best possible GPS team member. We will take all requests into consideration when determining a mentor.

This form is completely confidential.

Name
First and Last
Year in School
Age
Major or Concentration
School/College
Where did you hear about the GPS program?
Contact Phone Number
Email
Include @umich.edu
What pronouns should we refer to you by?
(they, she, ze, he, etc)
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