Peer Mentor Application Form Today's Date - must be mm/dd/yyyy format * Required Date Format: MM slash DD slash YYYY Student InformationStudent Name * Required First Last Best Contact Number * RequiredUTK Email * Required Enter Email Confirm Email Major * RequiredIs this your first time being an SDS peer mentor? * RequiredYesNoPlease indicate the semesters you've served as a peer mentorPlease explain why you want to become a peer mentor for Student Disability Services. * RequiredWhat are your interests and hobbies?Please list any campus groups or organizations in which you are involved?What qualities do you possess that would help you be an effective peer mentor? * RequiredPlease describe your understanding of what will be expected of you as a peer mentor, both in time commitment and the ways in which you will assist students. * RequiredHow do you think being a peer mentor will benefit you? * RequiredPlease note any preferences you have in terms of the characteristics of mentees you may be assigned, (e.g. gender, disability, major, etc.).If we have more students to be mentored that we have mentors, would you be interested in mentoring more than one student? (There is no requirement that you do so.) * RequiredYesNoPlease let us know how you prefer to meet with your mentee(s). * RequiredIn-personVirtualI don't have a preferenceI commit that I will: * Required Attend a required mentor training in spring 2020 * Required Meet with my mentee once per week for about an hour throughout the fall 2020 semester * Required Attend at least one program or event with my mentee during the fall 2020 semester * Required Maintain a log of my meeting and service hours * Required Report to SDS staff any issues or concerns throughout the mentoring relationship * Required Treat my mentee(s) with dignity and respect without regard to their race, color, national origin, religion, sex, sexual orientation, gender identity, or disability. * Required I understand the information contained in my interest form may be shared with my mentee(s). I agree not to share or disclose any information related to my mentee with others, except as necessary with the SDS staff for purposes of managing the mentor/mentee relationship. EmailThis field is for validation purposes and should be left unchanged.