BRYC
Underclassmen Mentor Form
Thank you for your interest in serving as an Underclassmen Mentor. Please complete this form to the best of your abilities. We will then reach out to you with next steps.
Basic Information
First Name
*
Last Name
*
Date of Birth
*
Gender
*
Select
M
F
Other
Email
*
Phone Number
*
Street Address
*
Please include apartment number if applicable.
City
*
Zip Code
*
Shirt Size
*
Select
XS
S
M
L
XL
XXL
XXXL
Are you willing to submit to a criminal background check?
*
Select
Yes
No
The results are confidential and will not be shared with anyone other than the BRYC staff member requesting the background check.
Employment Status
*
Select
Full-Time
Part-Time
Unemployed
Retired
Student
Other
Organization (Company/School)
*
If you are a student, please enter the school you are attending. If you are a working professional, please enter the organization you are affiliated with.
Job Title
*
Next
Questions
Serving as an Underclassmen Mentor requires a commitment of at least 75 minutes per week from August 2019-May 2020. Are you willing and able to commit the necessary time and energy to your Fellow?
*
Select
Yes
No
Unsure
Please provide a little bit of personal/background information (100 words or fewer).
*
Imagine that one day one of your Fellows stopped communicating with you. They started missing meetings, ignoring tasks, and seeming disinvested in the process. Briefly explain how you might handle the situation.
*
Do you feel comfortable asking probing questions of your Fellow to determine if there are any issues holding them back that may be below the surface (e.g., learning disabilities, anxiety, confidence issues)?
*
Select
Yes
No
Unsure
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