Peer mentorship request form

Information and privacy: questions regarding the collection of information on this form can be directed to the form administrator.

Contact information

Academic information

Example: Accounting and Financial Management
Year of study * (required)

Mentorship experience

How did you hear about the Peer Mentorship Transition Program? * (required)
Do you have experience in any previous mentorship programs? * (required)
How many years of experience? Please describe your role.

Campus experience

Please rate the following statements based on your experiences and knowledge of campus.

I feel socially connected * (required)
I feel confident with my academic success * (required)
I feel comfortable in social settings * (required)
I feel a sense of community and belonging * (required)
I am familiar with the supports and services offered through AccessAbility Services * (required)
I am familiar with the additional supports and services offered at UWaterloo * (required)
I have a strong social network on campus * (required)