Peer Mentee Intake Form

Name:
* *

Email:
*

Email Confirmation:
*

Student Number:

Phone Number:

Program Name:

Level:

I understand that by providing my contact information I am agreeing to be contacted by a peer mentor and/or staff of Employment and Student Entrepreneurial Services. I am also consenting to the release of my name, student number and FOL email address for the purpose of referral to other student services departments at Fanshawe College.

Please check all that apply

Have a question for a peer mentor? Ask below and your peer mentor will contact you by email!

Question:

I would like to receive invitations from peer mentors to attend ESES and other events on campus

I am interested in attending a group mentoring session (topics will change each month). Please list below topics you would like to discuss (eg. How to find volunteer opportunities).

Topics:

I would like to be matched with a peer mentor for 2-4 hours a month to discuss my career development goals and ways to get involved with campus life as a first year student. To help us get to know you better, please provide us with information as to why you are seeking a peer mentor.

Reason:

Please share any additional information you feel is relevant.

Comments:

For more information, contact:
inspirementoring@fanshawec.ca