KUBE Mentor Application (Fall 2019)

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APPLICATION CHECKLIST:

1. Complete this online application.

2. E-mail your resume to: UConnKUBE@gmail.com

3. We highly encourage applicants to sign up for an interview time slot as soon as possible!
You may easily sign up for a slot at: https://docs.google.com/spreadsheets/d/11qdoqD3BO8duBk9oZC3So2HvMlDsya36ux-9T6DCwcI/edit?usp=sharing

Interviews will be conducted starting Tuesday, September 3rd, and will conclude Friday, September 13th. They will occur in the AsACC conference room, 4th floor of the Student Union

4. If accepted, Bigs must attend the mandatory KUBE retreat on September 14th as well as all KUBE gathering days.

Please be reminded that KUBE days are one Saturday a month: Sept. 14th, Sept. 28th, Oct. 19, Nov. 16th, February 1st, March 7th, and April 4th

Absence Policy: You are allowed ONE excused absence. Please e-mail us if you foresee one of the KUBE dates to conflict. We understand that you are students and emergencies happen.

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Questions? E-mail UConnKUBE@gmail.com

Untitled Title

First and Last Name *

Have you been a part of KUBE in the past? *

Yes

Required

UConn PeopleSoft Number *

1234567

UConn NetID *

abc12345

School Address *

Home Address

UConn Email Address *

Cell Phone Number *

UConn Class Standing *

First Year

Second Year

Third Year

Fourth Year

Fifth Year

Other:

What is your preferred t-shirt size? *

Youth - XL

Adult - Small

Adult - Medium

Adult - Large

Adult - XL

Adult - 2XL

Other:

Expected Graduation Date *

Cumulative GPA *

#.##/4.00

Major(s)/Minor(s) *

Have you ever been convicted of a felony? *

Yes

If you have been convicted of a felony, please explain:

What are your extracurricular activities, hobbies, and/or interests? *

What are your volunteer experiences (especially mentoring or working with youth)? *

Why are you interested in KUBE? *

Preference of Little: *

What's one word that best describes you? *

Do you identify as being part of the LGBTQ+ Community (This question is for pairing purposes only. We have 'Littles' that identify with this community and it would a great opportunity for them to paired with mentors who do as well)

Yes

Prefer not to answer

Clear selection

Who is your role model and why? *

Are you involved with any other programs that may interfere with the KUBE days? *

Do you have any comments/questions/suggestions for the KUBE leadership team?

Submit

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