Mentor Application Form - Student Mentoring Programme - Mentoring Programme - University of Canterbury - New Zealand

UC Student Mentor

Given Name
Family Name
Student No.
Phone
Mobile
 

Address

UC Student Email

Email Address

Age
Sex:
male
female
Year of Study at UC

Main course of study

Ethnicity/Citizenship

Languages in which you are confident

Interests

Your reasons for applying to become a mentor/assistant:

Skills you would like to develop as a mentor/assistant:

Any other information or comments (for example, do you have a strong preference to mentor students who has similar cultural or religious background, family situation or gender - please list this below if you do)

How did you hear about the mentoring programme?