APACC Mentee Application
APACC’s Peer Mentor Program runs from Fall 2017 - Spring 2018 and provides new students with personalized mentorship from an upperclassman who will connect them to campus resources and community, allowing students to develop the skills they need to become engaged community leaders.

Mentees are required to do the following:
□ meet with their mentor once every two weeks during the fall and spring semesters
□ attend monthly group activities (including workshops)
□ Attend All Nations Leadership Retreat (Fri, Sept 29 4:00 PM - Sun, Oct 1 12:00 PM. All costs including transportation, food, and lodging are covered by CSU at no cost to the student.)

First Name *
Your answer
Preferred name
Your answer
Last Name *
Your answer
Your answer
e.g. Vietnamese, Sri Lankan, Black and Chamorro
Your answer
Your answer
Email address *
Your answer
Phone number *
Your answer
Your answer
Major(s)/minor(s) or areas of interest
Your answer
Identities that are important to me
(e.g. Black and Chamorro, Sikh, LGBT, first in family to go to college)
Your answer
Are you a first generation student?
(e.g. the first person in your immediate family to go to college)
Student organizations, activities, or hobbies you'd like to check out
e.g. Hui o Hawaii student org, outdoor activities, environmental sustainability, etc.
Your answer
Dietary restrictions
e.g. halal, gluten, dairy, nuts, etc.
Your answer
What are you looking for in a mentor?
Please rank the following in order of importance
Very important
Somewhat important
Not important at all
Similar ethnic background
Similar gender
Similar interests and hobbies
Help with studying/time management
Someone to hang out and go to events with
Someone to connect me to other people and resources
If you selected 'other' or would like to describe any of your preferences, please explain below.
Your answer
Help us get to know you!
What my mentor should know about me: *
Your answer
My biggest hopes and fears for my first year at CSU: *
Your answer
Activities I'd like to do with my mentor: *
Your answer
Anything else? *
Your answer
Don't forget to hit submit! *
By submitting this form, I confirm that I have read the Peer Mentor Program description and understand the expectations involved, including bi-weekly meetings with my mentor and monthly group activities.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms