The version of the browser you are using is no longer supported. Please upgrade to a
Sign in to your Google account to fill out this form
This form contains features which require sign in. Your identity will not be revealed.
Responses cannot be edited
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.
First and Last
Year in School
Major or Concentration
Where did you hear about the GPS program?
Contact Phone Number
What pronouns should we refer to you by?
(they, she, ze, he, etc)
Page 1 of 3
Never submit passwords through Google Forms.
This form was created inside of University of Michigan.
Terms of Service