Mentee Sign-up

First Name: *

Last Name: *

UofT E-mail: *

UofT Student number: *

Country of Residence *

What is your student status? *

Full Time

Part Time

Visiting/exchange

Continuing studies

What program will you be studying at UTM? *

Gender you identify with:

Do you identify as LGBTQ+?

Yes

No

Unsure

Prefer not to disclose

Do you identify as a First Generation student? (first in your family to attend post-secondary)?

Yes

No

Unsure

Do you identify as having a disability?

Yes

No

Prefer not to disclose

What is your mother tongue language?

Other than English and your mother tongue, do you speak any other languages?

Do you prefer to be matched with someone from the same nationality and/or mother tongue? *

Yes

No

Does not matter

What are your top 3 concerns or support that you are looking for from this program? *

Is there anything else you would like us to know to match you to your mentor? Please keep it under 300 characters *

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