Mentor Application: Black Students Mentorship Program (BSMP) | York University
Sign in to Google to save your progress. Learn more
Email *
First and last name *
How do you identify? (Select all that apply) *
Required
Where did you receive your post-secondary education? *
What is your level of education *
Required
Are you a professional in a health-related field? If yes, please type in your title/profession. *
What program / area of study are you able to mentor? Please select all that apply *
Required
If you selected OTHER, please elaborate on your selection in the space provided below
Do you have mentoring experience? If yes, please briefly describe this experience. For e.g.: What was the context? How do you feel about your experience? What was the structure of the program(s) you were a part of?(250 words maximum) *
In a few words: Why would you like to become a mentor for the Black Student Mentorship Program (250 words maximum) *
Are you able to commit to mentoring sessions in the evenings at least twice a month, for at least 1 hour each? (2022-2023) *
Would you be open to and able/prefer to contribute in other ways? *
Required
How did you hear about us? *
Thank you for filling out this form. It means a lot to us that you want to support this program and Black students navigating academia. Please feel free to share any thoughts, comments or feedback you may want to add below.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy