Spring 2021 Transfer Mentor Program Mentor Form
Thank you for your interest in serving as a mentor within the Transfer Mentor Program at TU! Please complete the below questions which will help us best match you with a mentee. If you have questions about the form or the Transfer Mentor Program please contact Jhane Cummings at jvcummings@towson.edu.

Please Note these important dates when completing the form:

• **NEW MENTORS ONLY** Thursday, 1/07 at 12:00pm (Noon) OR Wednesday, 01/13 at 10:00am: Required
Information Session via Zoom
• Monday, 01/25 at 12:00 PM (Noon): the deadline to complete this form
• Monday, 02/01 : You will receive confirmation that you have been matched with a student
• Tuesday, 02/09: Required Meet & Greet Breakfast from 9:00am-10:00am Zoom
• Additionally, you will be asked to meet 1:1 with your mentee at least twice during the semester

Please provide as much information as possible in the open ended responses; it enhances my ability to find you a student which best matches the support you are able to provide them.

*Please note that in order to serve as a Mentor you must be a current or retired TU Faculty/Staff Member. Do not fill out this form if you are a student at Towson University.
Email address *
Name (First) *
Name (Last) *
TU E-Mail Address *
TU Phone Number *
TU Department *
If needed, would you be willing to support more than one student? *
Have you served as a TMP Mentor Before? *
Do you have a preference for the academic department of your mentee? *
Do you have a preference for the academic major of your Mentee? Please list all that apply. If not, please put "N/A". *
When you think about communicating with your mentee, how do you envision the relationship? *
Please indicate how you believe you can best serve mentees. Check all that apply *
Do you have any additional career experiences, research activities, or professional connections which you believe could be of benefit to a mentee? If not, please put "N/A" *
Which Information Session will you be attending? *
If you are accepted to participate in the program, you must attend the mandatory Meet and Greet Breakfast on Tuesday, February 9th. Exceptions can be made, per request, once accepted, if this time overlaps with class. Please acknowledge that you are aware of this date, and have blocked off this time to ensure you can attend. *
A copy of your responses will be emailed to the address you provided.
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