CHAMPS Mentee Interest Form

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Thank you for expressing interest in the University of Lynchburg's CHAMPS program. In order to move forward we would need you to complete the questionnaire below so that we can place you with a mentor that enables you to have a fulfilled and welcoming second year experience.

The mission of the Collaborative and Holistic Academic Mentoring Peer Success (CHAMPS) program is to provide opportunities to University of Lynchburg First Generation, BIPOC, and Pell Eligible students to have access to the knowledge and experience of successful peer mentors to promote their collegiate success. As a student it can be hard navigating through campus and finding the resources you may need to be successful. Having a CHAMPS Mentor will meet that and many more needs.

Name *

University of Lynchburg Email *

Phone number

What identity(ies) apply to you? *

First Generation Student

BIPOC (Black, Indigenous, or person of color)

Pell Eligible (Financial Aid)

None of the above

Required

What is your intended academic major(s)?
*

Anything else you would like to share with us?

Comments or Questions

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