AUCCCO Mentorship/Consultation Program Application 2018
Please complete each question with as much information as you would like. You will be matched with an Outreach Colleague based upon your responses. Thank you!
University or College Name
Type of Academic Setting
School Enrollment Size
Under 5000 students
Over 30,000 students
Current Position Title
Time in Current Position
Total amount of time working in Higher Education?
What do you hope to gain from the AUCCCO Mentorship/Consultation program?
What are some of the challenges you have faced or are currently facing within your role?
Please share at least one of your proudest outreach accomplishments?
Please share a goal you want to accomplish for the upcoming academic year in regards to outreach.
Please select areas that you would like consultation or mentorship to focus on. (check all that apply)
Support for new professionals
Support for new outreach administrators
Developing an outreach program
Peer mentoring/education programs
Sexual assault prevention
Outreach with Greek Life
Training staff or trainees in outreach
Developing outreach policies
General support and feedback
Support as an administrator
Support with self care and balancing demands
If you were previously a part of mentorship and consultation, please select from the below pairing options.
I would like to continue working with my previous mentor/consultant match.
I would like to be paired with a new mentor/consultant match.
I would like to informally continue as needed with my previous match, and work with a new mentor/consultant
I am open and flexible to whatever you think is a good fit!
12) How often would you like to be in contact by email/phone/skype a semester with your match (Mark all that apply)
2-3 times a semester
Once a semester
I'm open to whatever is needed/determined with my match!
Please note your preferred method(s) of contact for consistent communication with your match. Check all that apply.
A copy of your responses will be emailed to the address you provided.
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