Mentors

March 27th, 2012

Here’s the mentor application! Take a look, if you’d like to become a mentor just send a completed copy to outreach.peer.mentors@dartmouth.edu.

MENTOR Application

The LGBTQ Peer-Mentor Program trains current Dartmouth students as mentors to help peers develop a positive LGBTQ identity while successfully adapting to life at Dartmouth.  The program is here to help students explore their personal interests, take advantage of campus resources, and find their own sense of community.

The LGBTQ Peer-Mentor Program consists of two separate mentoring programs each with an individual focus:

OUTreach links incoming students and current students with a mentor based on similar academic interests, extracurricular activities, and geographic location.

Questioning and Curious (Q&C) provides a number of different confidential resources (i.e. a confidential mentor, an anonymous hotline, and a secure online messaging system) that allow students to positively explore their own sexual identity and/or gender identity.

**ALL ANSWERS ARE CONFIDENTIAL**

Basic Information:

PREFERRED NAME:­________________

GENDER IDENTITY:_____________

AGE:__________

YEAR:________

EMAIL:___________________________

HINMAN BOX:______________________

PHONE:___________________________

Ethnicity (check all/any boxes that apply):

__Asian Pacific Islander

__Native American

__Latino/a

__African American/Black

__Caucasian

__Other: ____________

How do you self-identify in terms of sexual orientation?

Where are you from?

What are your top three activities at Dartmouth?

Please answer the following questions.  **Maximum 100 words for each response**:

1)    Why do you want to be an LGBTQ Mentor?

2)    Describe an experience that has prepared you to be a mentor for others.

3)    Describe someone who has been a mentor for you.  What impact did they have on your personal development?

4)    How have you negotiated your own coming-out process?

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