Peer Mentee Application | Health & Counselling Centre

First Name:

Last Name:

Student Number:

Telephone:

Utoronto Email Address:

Alternative Email:

Current Program of Study:

Country of Origin

First Language:

Gender Pronoun:

(She/her’s/hers’s, he/him/his, they/them/theirs, or other)

Why would you like to have a Peer Mentor?

Please list any special interests or hobbies

Please list the ways in which you would like to become involved at UTM

(e.g. student clubs, student government, recreation programs, volunteering etc.)