Disability Support Services Peer Mentor Program - Mentee Expression of Interest
The Disability Support Services program matches students registered with our services with a trained student mentor for regular meetings throughout semester.

Mentors provide support, encouragement and information to assist their mentee to successfully navigate university life, student support services and campus resources.

Mentees will meet with their mentors approx 1 hour per week, which may include meeting up for coffee, some assistance with campus orientation, practical campus know-how, university social events and referrals to university services.

Mentoring is NOT academic support.

If you would like to register your interest in being matched with a student mentor please complete the form below.
To be eligible to participate in the Peer Mentor program students must be registered with Disability Support Services. *
If you are not registered and would like further information about how to register please contact Disability Support Services on (03) 9905 5704 or email disabilitysupportservices@monash.edu
Name *
Your answer
Monash Student ID *
Your answer
Contact phone number *
Your answer
Email address *
Your answer
Faculty in which you are studying *
Your answer
Course you are studying
Your answer
Campus *
Your answer
Gender preference?
Please indicate your preference for a peer volunteer mentor. While we cannot guarantee preferences will be met we endeavour to match each student up with the most appropriate volunteer and will consult with you during this process.
Support Required
Please indicate any areas you would particularly like support in:
Your answer
Privacy Statement *
The primary purpose for the collection of the above information is to register your interest in participating in the Disability Support Services Peer Mentoring Program and to administer the Program. If you do not complete this form, it may not be possible for the uiniversity to appropriately consider your requirements to participate in the Peer Mentoring Program. You have a right to access personal information Monash University holds about you, subject to any exceptions in relevant legislation. If you wish to seek access to your ersonal information or inquire about the handling of your personal information please contact the Monash University Privacy Officer at privacyofficer@monash.edu
Never submit passwords through Google Forms.
This form was created inside of Monash University. Report Abuse - Terms of Service