EIU Mentor Application

Freshman/Transfer Connection Program Description

The Freshman/Transfer Connection program is a pilot program created to help new EIU students develop relationships and navigate their college experience.

As a mentor, you will meet once a week for a free meal, with a peer group of up to 5 other incoming freshmen/transfer students. You will also receive periodic training on how you can best help your peers be successful.

You will be notified before the semester begins if you have been selected as a mentor for the Freshman Connection program. You must be at least a sophomore in order to apply.

Reference Form: Please have one person of reference who can speak on behalf of your abilities fill out this Google form.
Name Name * First Last
E-Number *
Maximum of 8 digits allowed. Currently Entered: 0 digits.
Enter the 8-digit number only, not including the "E"
Briefly explain your extracurricular/volunteer activity off campus, your involvement with organizations at EIU. Include all recognized student organizations/activities — athletics, intramurals, Greek, social, academic, honor societies, etc. (if any): *
Were you in a leadership position in any of your previous work, extracurricular, or volunteer experiences (both on and off campus)? *

Were you in a leadership position in any of your previous work, extracurricular, or volunteer experiences (both on and off campus)? Yes No
If yes, please describe your position(s) and the role(s) you held:
What are the reasons you would like to work as a Freshman/Transfer Connection Mentor? *
What skills/strengths would you bring to the Freshman/Transfer Connection mentoring program? *
What do you love about EIU? *
What do you hope to gain from this mentoring experience? *

What meal times would you prefer to meet with your group? *
	Yes	No
Breakfast (7 to 10 a.m.)	Breakfast (7 to 10 a.m.)Yes	Breakfast (7 to 10 a.m.)No
Lunch (10 a.m. to 2 p.m.)	Lunch (10 a.m. to 2 p.m.)Yes	Lunch (10 a.m. to 2 p.m.)No
Dinner (3 to 7 p.m.)	Dinner (3 to 7 p.m.)Yes	Dinner (3 to 7 p.m.)No

Identify Activities or Areas of interests that appeal to you:

Identify Activities or Areas of interests that appeal to you: Reading Books Playing Sports Watching Sports Playing or Creating Music Video Games Board Games Outdoor Activities Community Service Religious Groups Diversity Groups Fraternities & Sororities
Preferred Contact Phone:
Note:

Your answers and feedback to surveys and data collected will be used to help us improve and assess the effectiveness of the mentoring program. You have the right to refuse to be in the study at all, and to stop participating at any time. You can reach out to Dr. Heidi Larson (halarson@eiu.edu or 217-581-2400) or IRB (eiuirb@eiu.edu or 217-581-8576) if you have any questions.

EIU Mentor Application

EIU Mentor Application

Freshman/Transfer Connection Program Description

Note: