JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Mentee Sign-up (Spring 2022)
Mentors@De Anza is a peer mentorship program based around academic, transfer, and leadership success at De Anza College. If you are in need of guidance or aim to excel as a student in De Anza, sign up to be a mentee with Mentors@De Anza!
For more information:
https://www.deanza.edu/collegelife/students/services-and-resources/mentors/
or
Contact
mentorsatdeanza@fhda.edu
for any questions/concerns
*** Application deadline (form closes): April 22nd, 2022 @ 6:00 PM PST ***
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name (First, Middle *OPTIONAL*, Last)
*
Your answer
Preferred Name
Your answer
Year at De Anza
*
Your answer
Major
*
Your answer
Student ID Number
*
Your answer
Pronouns
*
Your answer
Where did you hear about Mentors@De Anza
*
Class/Professor
De Anza Website
Discord
Email
Event
Friend
Instagram
Other:
Required
Personal club/program affiliations
(e.g. LEAD, ISP, DASG, [active De Anza club], etc.)
Your answer
Current location/timezone
*
Your answer
Languages spoken
*
English
Other:
Required
Transferring year
*
Your answer
Transferring major
*
Your answer
Prospective transferring school(s)
*
Your answer
What would you wish to be prioritized in your mentorship?
*
Please provide a list of what you need most help with!
Your answer
All mentors and mentees within Mentors@De Anza must abide by the Mentor/Mentee Contract. Please read through the contract provided below.
https://docs.google.com/document/d/1633lghgJcprPxe7TzRRru8jt2hqTNzHKxoFbpyvwu6c/edit?usp=sharing
By checking the box below, you agree to all of the statements in the Mentor/Mentee Contract. You understand that if you do not agree with any of the statements or are not able to complete your responsibilities, you will no longer be part of the Mentors@De Anza program.
*
Yes, I agree to all of the statements in the Mentor/Mentee Contract. I understand that if I do not agree with any of the statements or are not able to complete my responsibilities, I will no longer be part of the Mentors@De Anza program.
Required
Please provide any notes/comments/questions here.
Your answer
Thank you for signing up to be a mentee for the Mentors@De Anza program! We will notify you through email after sign-ups closes on April 22nd, 2022
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
