SSA Science Mentorship Program - Mentee Application

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We appreciate your interest in becoming an SSA Science Mentee for the 2023-2024 school year!

There will be an in-person Meet and Greet for mentors and mentees. The date and time for this event is TBD. Free lunch will be provided!

For information on the requirements and responsibilities as a mentee please visit:

Mentee Information

If you have further inquiries, please send an email to ssaacademics1@gmail.com

7-Digit Student Number *

Name (First Name, Last Name) *

Are you currently enrolled as a first year Faculty of Science student for the 2023-2024 academic year? *

Yes

University of Manitoba Email Address (@myumanitoba.ca)
*

City/Town of Residence? *

Which science program(s) interests you for your future studies? (e.g. Microbio, Biochemistry, Math, still unsure, etc.) *

What would having a mentor mean to you? What qualities would you expect/like to see in a peer mentor? *

Please list a few of your personal and academic interests.
*

Which of the following interests you in regards to extracurricular activities/involvement? Please select all that apply. *

Summer Research Experience

Leadership roles in Student Clubs

Involvement in sports/athletics (e.g. coaching, bison athlete, etc.)

Employment on campus (e.g. TA, SI Leader, MiniU, etc.)

Educational Outreach (e.g. Let's Talk Science presenter)

Co-op Program

Other:

Required

Do you have any other commitments (heavy course load/other extra-curricular) that you for-see creating a conflict with your responsibilities as a mentee?
*

If you could ask a mentor any question right now, what would it be?
*

How would having a peer mentor most help you most right now? *

Are you interested in attending an In-Person Meet and Greet for mentors and mentees? (date is TBD)
*

Yes

Notice Regarding Collection, Us, and Disclosure of Personal Information by the University
Your personal information is being collected under the authority of The University of Manitoba Act. The information that you provide will be used by the University for the purpose of determining your eligibility for tutoring your preferred courses for the 2023 - 24 Science Students' Association's (SSA) Peer Mentorship Program. Your personal information will be disclosed to the SSA's Academics team, which includes the Director of Academics and the Academics Programmers. Your personal information will not be used or disclosed for other purposes, unless permitted by The Freedom of Information and Protection of Privacy Act (FIPPA). If you have any questions about the collection of your personal information, contact the Access and Privacy Office (tel. 204-474-9462), 233 Elizabeth Dafoe Library, University of Manitoba, Winnipeg, MB, R3T 2N2.
*

I have read and acknowledged the statement above

Required

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