Peer Mentee Application - Student Disability Services

Complete this form if you are interested in participating in the Peer Mentor Program.

Name * Required
First Last
Best contact number * Required
UTK Email * Required
Preferred Pronouns
Major and Career Goals * Required
Hobbies & Interests * Required
If you prefer a mentor with certain characteristics (e.g. gender, disability, interests, etc.), please note them below. Student Disability Services will take these into consideration, but preferences are not guaranteed * Required
Anything else you would like your mentor to know about you in advance * Required
How would you like to meet with your mentor? * Required
- In-Person
- Virtually
- No preference
Please select your preferred communication method with your mentor. * Required
- Email
- Text message
- Phone call
Do you need any accommodations when meeting with your mentor? If yes, please explain.
Consent * Required
I request to be paired with a peer mentor for the upcoming Fall semester. I agree that some information on my application, my phone number, and UTK email address will be shared with my mentor.