SDRC Peer Mentoring Program

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Student Disability Resource Center (SDRC) mentors help facilitate a student’s transition to UCR.

SDRC mentors meet and communicate with their mentees twice a month and assist with:
• Disability awareness and accommodations at the university level
• Providing guidance and directions to support/resources on campus
• Goal setting and progress monitoring

Training will consist of two day workshops during Week 0.

Mentors will also meet one to two times a month to check-in with a lead peer mentor and/or the program’s advisor.

Commitment: You would serve as a mentor to your assigned mentee(s) for at least one academic school year.

Benefits: As a volunteer mentor, you will have the opportunity to improve your own self and social awareness skills as well as your networking skills. You may also use this experience as a co-curricular activity.

Name *

SID *

UCR E-mail *

Phone Number *

Year in School *

Freshman

Sophomore

Junior

Senior

Other:

Are you a transfer student? *

Yes

Anticipated Date of Graduation *

Major *

Other Extra-curricular Activities Participation *

What do you hope to gain by participating in the SDRC Peer Mentoring Program? *

If you are returning mentor, please identify one key takeaway from previous year(s).

Please describe the strengths, qualities, and skills you can bring to the SDRC Peer Mentoring Program? *

Would you be willing to mentor more than one mentee? *

Yes

How would you like to be matched with a mentee? *

Disability/Condition

Major

Gender

No preference

Required

How would you prefer to contact your mentee? *

Phone

Texting

E-mail

Please note a few of your Interests/Hobbies. *

Are you interested in opportunities to participate in disability awareness events such as student panels? *

Yes

Maybe

Disclosure Agreement (check each statement): *

I understand the information contained in my profile and application may be shared with my mentee (s). I agree not to share or disclose any information related to my mentee's condition/diagnosis with others, except as necessary with SDRC staff for purposes of managing the Mentor/Mentee relationship.

I agree to actively communicate with my mentee(s) and with the SDRC Mentoring Advisor

Required

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of UCR.

Does this form look suspicious? Report

Forms