Mentee Survey 2013-14
We're so glad you're interested in the Mentor Program! Please take a few minutes and fill out this survey so we can learn more about you. We will contact you with more information and a mentor pairing.
Preferred first and last name
Would you like to receive informational text messages from us or your mentor?
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 with an appropriate mentor, if the identity category in question is important to you. For example, if it is important to you to be matched with someone with the same gender identity, please let us know.
How do you identify regarding race/ethnicity?
How do you identify regarding religion or spirituality?
How do you identify regarding gender identity/gender expression?
How do you identify regarding sexual orientation?
What are you hoping to gain from your mentor?
How “out” are you? How comfortable are you being out on campus, at work, and at home?
How important is it for you to be “out" out on campus, at work, or at home? Why or why not?
Please list some of the activities you have been involved with:
e.g. sports, student organizations, fraternity/sorority, jobs, etc.
How would your friends describe you?
Anything else you'd like to add or share?
Thank you for filling out 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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