JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SUNY CCC - Diversity Center Student Advisee/Mentee Application Form
Fall 2020 the SUNY Corning Community College Diversity Center introduced our Peer Advisor and Mentorship Program. The purpose of both programs is to provide our students with academic, personal, and/or professional support and connections. The program seeks to:
1. Help students develop strategies for dealing with both personal and academic issues.
2. Help students develop leadership and/or management skills.
3. Increase the student's confidence and motivation.
4. Provide students' with a connection to the community.
5. Increase students' network and social capital.
6. Increase the chances that students will persist and succeed at CCC.
7. Provide a student with practical advice, encouragement, and support.
8. Help students i
dentify goals and establish a sense of direction.
What's the difference between the programs?
Peer Advisors are current second-year students advising first-year and transfer students while the Mentorship Program are local professionals/community members mentoring CCC students.
PROGRAM REQUIREMENTS:
- The program time commitment is ten months long from August through May. The first two months of the program are critical in establishing a solid relationship between the student and advisors/mentors.
- Students must make initial contact with the advisor/mentor within one week of the assignment.
- Peer Advisors must meet with the student(s) for at least 30 minutes once per week.
- Mentors must meet with student(s) for at least 1 hour once per month.
- There will be monthly meetings with the Diversity Center coordinator, and advisors/mentors to make sure things are going well, meetings are taking place, whether the mentorship pairing should be reevaluated and possibly reassigned.
- Advisors/mentors and CCC students must complete an assessment at the end of each semester on the progress of the relationship.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First name:
*
Your answer
Last Name
*
Your answer
Your Prefered name:
*
Your answer
Personal email:
*
Your answer
Phone Number (Only to be given to mentor)
*
Your answer
What is your preferred method of contact with your advisor/mentor and others at CCC (email, phone, skype, etc.)?
*
Your answer
Home City
*
Your answer
Major/Program
*
Your answer
Graduation Year
Your answer
Current GPA
Your answer
Are you looking for a :
*
Peer Advisor
Professional/Personal Mentor
Both
Required
What are the three biggest challenges you have faced or that you think you will face while at CCC?
*
Your answer
How do you see the Mentoring Program helping you while at CCC?
*
Your answer
Please describe your ideal Mentor. What are you looking for in a Mentor? (Examples: choosing a major, help with classes, getting acquainted with CCC/the community, career advice, personal support, energetic, experienced, gender, race, etc.)
*
Your answer
Please help us achieve your best possible match. Do you mind sharing the identities/memberships you claim? e.g. religious affiliation, gender, sexuality, race, ethnicity, union affiliation, age, geographic location, etc
*
Yes
No
Required
If yes, what are those identities/memberships?
*
Your answer
Please list your interests, hobbies, and any other comments you wish to include.
*
Your answer
Please click submit to complete your application. Thank you!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Corning Community College.
Report Abuse
Forms