AMS VICE - Mentorship Intake
Everything in this form is optional (except the email, as that is how we will contact you). It will be used exclusively by AMS Vice and will not be shared outside of those working in the service.
Email address *
First name
Clear selection
Gender preference in support, if any
Clear selection
Seeking support around
What is the best time/day of the week to meet for session? We will do our best to match you with a mentor that fits within your schedule. Please list at least TWO times that work. *
Short description of the situation you are seeking support for.
Have you used other support services before? If so, which?
How did you hear about AMS Vice?
What else should we know to better support you?
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