Doctoral Student Peer Mentoring Program Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Doctoral Student Peer Mentoring Program Application - Spring 2022

Please complete the questions below so that we can match you with a peer mentor or mentee. If you have already been matched with a partner and wish to keep that relationships, you do NOT need to fill out an additional application for this semester. Please direct any questions to DRSP@library.illinois.edu

Please choose one of the following: *

I am NEW to the DRSP Peer Mentoring program.

I have been PREVIOUSLY MATCHED with a partner, and I would like a DIFFERENT one.

I have been PREVIOUSLY MATCHED with a partner, and I would like an ADDITIONAL one.

I would rather be... *

A mentor

A mentee

No preference

If you answered "mentor", are you willing to take on more than one mentee? *

Yes

Not applicable

First Name/Given Name *

Last Name/Family Name *

Email address *

Are you an international student? *

Yes

Department & Program *

In which year of your PhD program are you in the 2021-2022 academic year? *

First

Second

Third

Fourth or beyond

Non-academic interests (e.g. things you like to do in your free time, or activities/programs you are involved in)

Do you expect to be in Champaign-Urbana during the spring 2022 semester? *

Yes

How would you prefer to communicate with your mentor/mentee? *

Text messaging

Other:

Required

How many times per semester would you be willing to meet with your mentee(s) or mentor? *

Twice per semester

Monthly

Every two weeks

Doesn't matter

Other:

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

Forms