2021-2022 DREAM Project Fellowship (DPF)- Mentor Site Application

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We enthusiastically invite you to support our students by establishing or continuing a partnership with the DREAM Center that has impacted our fellows and campus in a positive way over the past year.

By completing this application form, you are applying to become a Mentor Site to participate in the DPF program for the upcoming 2021-2022 Academic Year. Although this does not guarantee that a fellow will be placed at your site, we will do our best to match you with a fellow that meets yours and the fellow's needs to ensure a successful collaboration.

If you are interested in learning more about the fellowship, please register to attend one of our Virtual Mentor Information Sessions here: https://tinyurl.com/DPFInfoSession

⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀𝐌𝐞𝐧𝐭𝐨𝐫 I𝐧𝐟𝐨𝐫𝐦𝐚𝐭𝐢𝐨𝐧 𝐒𝐞𝐬𝐬𝐢𝐨𝐧𝐬
⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀Friday, May 21, 2021
⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀2:00 p.m. to 3:00 p.m.
⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀Register in advance: http://bit.ly/DPFMentorSession

TIPS TO COMPLETE THIS FORM:
- We encourage the direct supervisor (the person who will be the project mentor for the fellow) to complete
this form
- If you are hosting more than one fellow, please submit one form per fellowship

Please submit your application by Sunday, May 30, 2021

Thank you for your continued allyship!

Project Mentor Name (s) and Title(s)

Please provide the name and title of the Project Mentor if the person who will serve as the primary mentor for the fellow throughout the academic year is different from the individual applying for this mentorship program. If there are multiple mentors, please provide all of the names of the mentors.

School or College Name, Department Name, and Center or Organization Name *

(i.e. Student Affairs, Student Life & Leadership, DREAM Center )

Project Mentor Email *

My site is interested in mentoring a DPF fellow in the following way (please check all that apply): *

I want to return as a project mentor for a new fellow

I want to return as a project mentor for last year's fellow

I want to be a project mentor to more than one fellow (please submit 1 form per fellowship)

I would like to sponsor a fellow to complete a project at the DREAM Center

I want to be a project mentor but I do not have funding

I want to be a project mentor if my department/organization budget can fund it

No, I cannot participate at this time

Other:

Required

Do you have a student fellow in mind that you would like to work with? *

Please provide name and contact info, so we can reach out to them to facilitate the matching process.

Yes

I am ONLY SPONSORING FINANCIALLY and are NOT able to host a fellow at my site.

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