Peer Mentee Application - Requesting a Peer Mentor


If you would like to be connected with a Peer Mentor at Bismarck State College, please complete the Peer Mentee Application below.

* Today's Date (MM/DD/YYYY)

* First Name

* Last Name

* Phone Number (XXX-XXX-XXXX)

Preferred Email Address

* Home Residence (select one)
Gate City Bank Hall Lidstrom Hall Mystic Hall Ritchie Hall Swensen Hall Werner Hall Off Campus
* Program Affiliation (check all that apply)
Student Accessibility REACH@BSC Other
Needs for a Peer Mentor (check all that apply)
Tutoring Social Relationship New to BSC Job Coaching Independent living training (on campus) Classroom support
* Things I would like to do: (check all that apply)
Intermural sports Attend BSC Campus Life Events Attend BSC Athletic Events Community Opportunities Lunch Study Meetings Coffee/Drink/Snack Meetings Recreational Activities
* Tell us about yourself. What would you like your peer mentor to know about you?

* What are you academic and career goals?

* What do you enjoy doing in your free time?

Peer Mentee Application - Requesting a Peer Mentor | Bismarck State College