Mentor Application | Center for Students with Disabilities

Thank you for your interest in being a REACH Mentor at the Center for Students with Disabilities! Please take a few minutes to fill out our application so we can learn more about you and help match you with a REACH Mentee.

Section 1

Bio/Demographic Information

Name(Required)

First Last

NetID(Required)

Phone(Required)

UConn Email(Required)

Enter Email Confirm Email

Hometown(Required)

Include State and/or Country if you are an international student

What is your major/minor?(Required)

Year Standing at UConn:(Required)

What is your anticipated graduation date?(Required)

Semester and Year

Are you a transfer student?(Required)

Yes

Section 2

Please tell us a little more about yourself and why you would like to be a part of the CSD REACHing Peers Program!

Why do you want to be an REACH Mentor and what are you looking to gain from this experience?(Required)

What skills/strengths do you have that would make you a good REACH Mentor?(Required)

What other time commitments outside of your classes/studies do you participate in during the academic year? (ie: jobs, teams, extra-curricular activities etc.)(Required)

Is there anything else you would like us to know about you?

Name

This field is for validation purposes and should be left unchanged.