PPS Mentor Application
Thank you for your interest in becoming a mentor for PPS this year. Mentoring gives you the extraordinary opportunity to facilitate a mentee's personal and professional growth by sharing knowledge you have gained about pharmacy. As a mentor, you can benefit as well! This is a wonderful opportunity for you to gain a potential lifelong pharmacy buddy. In addition, you will be able to strengthen your leadership and mentorship skills, and create a legacy that has a lasting impact on your mentee(s).

-To be qualified, you must have one year of experience in PPS and be an active member of

-Please take your time on this application; doing so will allow us to pair you up with the most suitable mentee(s). Submit your application by 11:59PM on October 18th.

General Information
Name *
Your answer
Birthday!
Your answer
College *
Your answer
Transfer Student? *
Year *
Your answer
Major *
Your answer
Minor
(if applicable)
Your answer
Phone Number *
Your answer
E-mail *
Your answer
Best way to reach you *
Check all that apply
Required
Are you an early bird or a night owl?
Do you live on-campus or off-campus?
For the following five questions, please mark how active you will be this year.
GBMs *
(pharmacy school representatives, guest panels, workshops, etc.)
I will not attend these events
I will attend all of these events
Volunteer Events *
I will not attend these events
I will attend all of these events
Family Events *
I will not attend these events
I will attend all of these events
Intramural Sports *
I will not attend these events
I will attend all of these events
Social Events *
I will not attend these events
I will attend all of these events
How sure are you about pharmacy? *
Please elaborate on your answer to the previous question *
Your answer
What other organizations are you involved in? *
Your answer
Getting to Know You
What are your hobbies? *
What do you do for fun? Ex: foodie, sports, music, TV shows, art, dance, games
Your answer
Which one best describes you? *
Please elaborate on your answer from the previous question *
What makes you an extrovert/introvert/in between?
Your answer
Mentor Questions
What is your preferred number of mentees? *
Your answer
Why do you want to be a mentor? *
Ex: pass down knowledge, hangout buddies, mentorship experience, study buddies
Your answer
What are you looking for in a mentee? Please be as descriptive as possible. *
Ex: introvert/extrovert, bookworm/party animal
Your answer
What sorts of activities would you like to do with your mentee(s)? *
Also state whether you would be willing to spend money on these activities. Ex: study sessions, 1 on 1, volunteering, advising, going out to dinner, sports, watch movies, cooking, hiking, going to the beach
Your answer
Is there anyone you have in mind for your mentee(s)?
Disclaimer: There is no guarantee that you will be paired up with the following person/people.
Your answer
Is there anything about you that you want your mentee to know?
Your answer
If applicable, please describe your previous experience in the Mentor-Mentee Program. Also include any suggestions for the program.
Your answer
Will you be attending our MANDATORY Mentors Workshop on Oct. 20 at 7-7:30pm in Dolores Huerta Room? *
If you answered "No" to the question above, why not?
This event is MANDATORY for all mentors, so please contact Colette Truong or Christina Vu to set up an alternate meeting if you cannot attend the main event. Failure to do this may result in your disqualification as a mentor.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms