SUNY CCC Mentor Program Application Form
Welcome!!
 The SUNY Corning Community College Mentor/Leadership Program is accepting student requests for peer advisors and mentors. Our programs provide academic, personal, and/or professional support and connections to our students. In order to achieve its goals, the program aims at: 
1. Establish strategies to deal with both academic and personal issues for students. 
2. Assist students in developing leadership skills and/or management skills. 
3. Improve the students' motivation and confidence. 
4. Provide students' with a connection to the community.
5. Increase students' network and social capital.
6. Increase the chances that students will persist and succeed at CCC.
7. Provide students with practical advice, encouragement, and support.
8. Help students identify goals and establish a sense of direction.

What's the difference between the programs?
Peer Advisors are current second-year students advising first-year and transfer students while the Mentors are local professionals/community members mentoring CCC students.

PROGRAM REQUIREMENTS:
- The program time commitment is ten months long from August  through July. The first two months of the program are critical in establishing a solid relationship between students and advisors/mentors.
- Students must make initial contact with the advisor/mentor within one week of the assignment.
- Peer Advisors must meet with the student(s) for at least 30 minutes bi-weekly.
- Students must meet with Mentors for at least 1 hour per month.
- There will be monthly meetings with the Diversity Center coordinator, and advisors/mentors to make sure things are going well, meetings are taking place, whether the mentorship pairing should be reevaluated and possibly reassigned.
- Advisors/mentors and CCC students must complete an assessment at the end of each semester on the progress of the relationship.

Please contact Babatunde Ayanfodun, diversity@corning-cc.edu, if you have any questions.
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Email *
First name: *
Last Name *
Your Prefered name: *
Personal email: *
Phone Number (Only to be given to mentor) *
What is your preferred method of contact with your advisor/mentor and others at CCC (email, phone, skype, etc.)? *
Home City *
Major/Program *
Graduation Year
Are you looking for a : *
Required
What are the three biggest challenges you have faced while at CCC? *
How do you see the Mentoring Program helping you while at CCC? *
 Please describe your ideal Mentor. What are you looking for in a Mentor?  (Examples: choosing a major, help with classes, getting acquainted with CCC/the community, career advice, personal support, energetic, experienced, gender, race, etc.) *
Please help us achieve your best possible match. Do you mind sharing the identities/memberships you claim? e.g. religious affiliation, gender, sexuality, race, ethnicity, union affiliation, age, geographic location, etc *
Required
If yes, what are those identities/memberships? *
Please list your interests, hobbies, and any other comments you wish to include. *
Please click submit to complete your application.  Thank you!
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