Peer Mentor Application

Application deadline: Monday, October 24, 2011 at Noon.

Before completing application, please read over the roles and responsibilities of a Peer Mentor.

Please note: All peer mentors are required to take a one credit class that meets for 2 hours a week in the second half of the Spring 2012 semester and must meet a minimum cumulative GPA requirement of 2.8. First year applicants can put N/A for their GPA.

First Name: *

Middle Name:

Last Name: *

Student ID: *

E-mail: *

Local Address: *

Phone Number: *

Major: *

Minor:

GPA: *

Year as of Fall 2012: *

Sophomore

Junior

Senior

Why are you interested in being a Peer Mentor?: *

What do you hope to learn from being a Peer Mentor?: *

What strengths do you bring to the position?: *

How did you hear about the FYS Program and Peer Mentor opportunity? : *

If necessary, please explain any weaknesses in your application, past academic performance, etc. :

Please provide the name, title, and e-mail address of at least two references (one professional and one academic, at least one of which is a UD faculty member): *

I have read and accept the roles and responsibilities of this position: *