Office of Multicultural Development - Peer Mentor Application

Applicant's Information
  • Hispanic/Latino   American Indian/Native Alaskan   Asian   Black/African-American  
    Native Hawaiian/Pacific Islander   White   I prefer not to answer   Other:
  • Academic Information
    Campus Involvement
  • Office of Multicultural Development    Fall Athletics    Spring Athletics    Counseling, Testing & Career Center   
    Developmental Programs    Student Financial Aid    Library Resources    Office of Accessibility   
    Academic Advisement Center or Summit Advising    Adult Focus    Residence Life & Housing   
    Associated Student Government    Other:
  • Supporting Information About You
    The above information is correct to the best of my knowledge. By submitting this form I also give the Office of Multicultural Development permission to verify this information as well as information regarding my academic and disciplinary status. I understand that the falsification of this application form in any way is ground for disqualification from further consideration for the position of Peer Mentor.
    An asterisk (*) denotes a required field