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2020 NACADA Region 2 Mentor Application
Part One: About You
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* Indicates required question
Email
*
Your email
Last Name
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Your answer
First Name
Your answer
Position Title
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Your answer
Institution
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Your answer
Email
*
Your answer
Work Phone
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Your answer
Cell Phone
Your answer
Which method(s) of communication do you prefer?
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Email
In-Person
Online (Skype/WebEx/Zoom/etc.)
Phone
Other:
Required
Areas of Expertise
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Which areas (below) are those you feel you are an expert in that you could assist a mentee in learning more about through their personal development in the Region 2 Mentoring Program?
Academic Difficulty (Warning/Probation/Dismissal)
Advising Administration
Advising Best Practices
Advisor Training and Development
Career Counseling
First Year Students
Graduate and Doctoral Students
Honors Students/High Achieving Students
International Students
Low Income and/or First Generation
Nontraditional Students
Presenting
Publishing
Student Athletes
Technology in Advising
Transfer Students
Upperclassmen
Other:
Required
How long have you been a NACADA member?
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Your answer
What do you find to rewarding about NACADA membership?
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Your answer
Do you anticipate attending any of the following NACADA Events post-2020 Region 2 Conference?
Annual Conference
Drive-In (Commonwealth/District/State)
International Conference
Region 2 Talk (Online)
Webinar
Please respond to the following questions
Why do you want to serve as a mentor for the Region 2 Mentoring Program?
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Your answer
List some of your professional accomplishments. Please include NACADA leadership or involvement, leadership or involvement in other professional organizations, as well as institutional accomplishments.
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Your answer
What do you see as the value of a mentoring relationship for both the mentor and the mentee? Please use in your answer any experiences you have had in a mentoring relationship (whether informal or formal).
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Your answer
Would you be interested in serving as a mentor for one mentee or two?
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One
Two
Please confirm your commitment to be a mentor.
I understand that if I am selected as a Region 2 Mentoring Program mentor, I will be expected to make a one- year commitment to the Program, beginning with attending the 2020 NACADA Region 2 Mentoring Training on Tuesday, April 28, 2020 via Zoom.
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I understand.
I will participate fully in the program by making myself available to my mentee regularly, participating in professional work with my mentee, offering support and advice, and participating in the program's assessment.
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I will.
Please "sign" this form by typing your initials below.
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Your answer
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