UAAB Mentee Application - Due Sept 21, 2016
To apply as a mentee, an advisor needs under 3 years of advising experience at VCU.
Part I
Please enter the following information, which will be shared with your mentor if you are selected.
Your answer
Current department/office at VCU:
Your answer
Discipline/background (ex: Counselor Ed, Sociology, Biology):
Your answer
Your answer
Preferred Email Address:
Your answer
Phone Number:
Your answer
Please rank your preferred methods of communication with your mentor:
1 = most preferred; 3= least preferred
How long have you been advising at VCU?
Your answer
Do you have advising experience outside of VCU? Please describe briefly.
Your answer
In what areas would you like to be mentored?
(ex: NACADA involvement, counseling skills, VCU resources, research, warning/probation, transfer students, etc.)
Your answer
Part II
Why are you interested in obtaining a mentor through UAAB?
Your answer
List some of your professional goals. (related to work, education, membership involvement, etc.)
Your answer
What do you want to achieve out of a mentoring relationship at VCU?
Select any that apply and add any additional goals in "Other" field
I have read the UAAB Mentorship Program guidelines available here: I understand that if I am selected as a UAAB mentee, I will be expected to make a one-year commitment to the program, beginning with at least one meeting in October 2016.
Please type name to confirm
Your answer
Please contact Melinda Snyder ( or Rachel Hill ( if you have any questions.
Never submit passwords through Google Forms.
This form was created inside of Virginia Commonwealth University. Report Abuse - Terms of Service - Additional Terms