Peer Mentee Application

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HCC’s Peers Supporting Peers Program (PSP) @ UTM

This form helps us understand your goals and support needs so we can match you with a peer mentor. The information is reviewed by PSP Program staff (Registered Nurses at the Health & Counselling Centre) and will be kept confidential. Please note that an exact match may not always be possible.

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Student Information

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Background Information

Check all that apply:

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Program Fit & Interests

These questions help us understand what you're looking for in a peer mentor and whether the PSP program is the right fit for your needs. While mentors may provide some general academic guidance and share strategies for navigating university life, the primary focus of the PSP program is to support the development of healthy wellness habits and overall well-being.

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Scheduling Logistics

What days and times generally work best for you for 1:1 mentor meetings? (select all that apply)
9am - 11am
11am - 2pm
2pm - 5pm
9am - 11am
11am - 2pm
2pm - 5pm
9am - 11am
11am - 2pm
2pm - 5pm
9am - 11am
11am - 2pm
2pm - 5pm
9am - 11am
11am - 2pm
2pm - 5pm

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Mental Health Screening

This section helps us determine the appropriateness of PSP peer support and whether additional care may be needed. 

Are you currently experiencing any mental health issues?

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At your first and every subsequent meeting, your mentor will complete a brief mental health screening with you. If the screening suggests that more support is needed, your mentor will help you connect with appropriate services.

Please note that if you are feeling unsafe or if this is an emergency, please contact one of the following resources for immediate support: 

  • In an Emergency? Call 911 or go to the nearest hospital Emergency Department

  • Suicide Crisis Helpline 
    Call or text 9-8-8

  • TELUS Health Student Support App (formerly My SSP) 

    • Available 24/7, Call 1-844-451-9700

    • Download from Apple App Store or Google Play

I authorize the PSP Program Facilitator to share my U of T email address with the Peer Mentor I am matched with.

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Disclaimer

The PSP Program is intended for students seeking peer support for wellness goals, academic motivation, and personal growth. It does not replace professional mental health care or crisis intervention. 

If you need professional support, please contact the Health & Counselling Centre (HCC) at 905-828-5255 or visit DV1152.

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