ALANA Students and Alumnae/i Mentoring (ASAM) Program: Fall 2022 Mentor Application
Thank you for your interest in the ASAM Mentoring Program.

We ask that mentors are:
- A Simmons alumnae/i (undergraduate or graduate) of 5+ years
- Simmons Faculty or Staff (online and on campus)
- Identify as person of color
- Willing and able to dedicate time to a mentoring relationship

Applications for mentors are accepted on a rolling basis. The Multicultural Center will be in touch with all applicants via email once applications are reviewed.
Sign in to Google to save your progress. Learn more
Email *
What do you hope to gain from this experience as an ASAM Mentor?
Email *
First Name *
Pronouns
Last Name *
What is your race/ethnicity? *
Class Year
Major(s) and Minor(s) when you attended Simmons *
Current Employment/ Career Trajectory *
Simmons Affiliation: *
Address *
City *
State *
Cell
Work Phone
Home Phone
Preference of Contact *
Required
Do you anticipate any challenges in making a time commitment to a mentoring relationship? *
Are you interested in mentoring Graduate Students of Color? If Yes, would you prefer one on one mentorship or being a mentor to a cohort of Graduate Students? *
Please let us know how you learned about this opportunity. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Simmons. Report Abuse