The LGBT Campus Center is pleased that you're interested in becoming a Mentor. Please take a few minutes and fill out this survey so we can learn more about you. We will contact you soon to let you know about future trainings and mentor matches.
Preferred first and last name
Year in school
First year, second year... graduate student
Area of study
Which pronouns do you currently use?
he/him, she/her, they/them, ze/hir...
These questions are optional-- we include them so we can match you according to the mentee's wishes, if the identity category in question is important to them. For example, if a trans mentee wants a trans mentor, we will try to accommodate.
How do you identify regarding race/ethnicity?
How do you identify regarding religion/spirituality?
How do you identify regarding gender expression/gender identity?
How do you identify regarding sexual orientation?
Why are you interested in becoming a mentor? What qualities would make you a good mentor?
How comfortable are you being "out" on campus, work, and home? And how important is it for you to be "out" in these spaces?
Which topics are you knowledgable about and feel comfortable discussing?
Sometimes mentees have specific needs regarding the identities/experiences listed below. Please check the boxes if you feel competent in offering guidance on these topics, even if they are not your personal identity or experience.
trans issues and transitioning
intersection of race and queerness
problems with roommates
problems with family
problems with religious/spiritual community
Please discuss some of the different activities you have been involved with:
i.e. sports, student organizations, fraternity/sorority, jobs, etc.
How would your friends describe you?
Anything else you would like to share?
Thanks for taking the survey! We will be in touch with you soon.
RJ Hayes Event and Program Coordinator LGBT Campus Center email@example.com
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