Name *

First Name

Last Name

Would you like a College Navigator Mentor to help you overcome challenges to staying enrolled in college?

If you have already selected a Career Mentor, please skip ahead to the next question.

I prefer a female mentor (she, her, hers).

I prefer a male mentor (he, his, him).

I prefer a bi-lingual mentor (Vietnamese, Mandarin or Spanish).

Not sure, or I need more information.

What are the challenges you are facing to completing your education? Check all the boxes that apply. *

Mentors are not experts or trained professionals in any of the areas listed below, but they will listen to you, help you identify and access campus and community resources and check on how you're doing.

Academic advising (not enough or not accessible)

Academic preparedness (don't feel college ready)

Academic major or purpose (can't decide or not sure)

Activities on campus (not engaged or can't find)

Books or materials for class are too expensive

Can't afford college

Career (connecting education to job)

Childcare (affordability or access to quality care)

Citizenship issues

Classes are too hard

Computer or technical issues

Contending with racial, equity or diversity issues on campus

Culturally I don't feel connected

DACA status issues

Debt

Disability (learning or hidden)

Disability mobility

Don't feel a sense of belonging on campus

Don't fit in on campus

Emergency (family or personal)

Employment (don't have a job)

Faculty unavailable

Family (managing commitments)

Financial aid applications like FAFSA too complicated (problems completing)

Financial aid is unavailable or I don't know how to get it

Finding a purpose of study or selecting academic direction

Food insecurity

Friends (trouble finding on campus)

Health and wellness concerns

Housing problems

Homelessness

Hunger

Language barriers (verbal or written)

Mental health challenges

Part-time status is difficult

Paying for education

Registering for classes

Remote learning difficulties

Selecting classes

Self-Esteem (believing in self)

Stress (managing)

Study skills

Tutoring is unavailable or too expensive

Transferring to another campus (meeting requirements or other issues)

Veteran's affairs

Phone *

(###)

###

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In general, what is the best way for your Mentor to reach you?

Email

Phone

Text

WhatsApp

Date of Birth *

MM

DD

YYYY

Student Agreement *

Mentors are volunteering their time and care a lot about helping you finish your college degree or certificate program. To work with a Mentor, we ask that you agree to: 1. Respond to your Mentor when contacted (even those weeks where you may not need much help). 2. Be respectful of your Mentor's time, boundaries and suggestions (even if you may not always agree). 3. Meet with your mentor between 1-3 times by Zoom or FaceTime and complete the final evaluation form. 4. Limit contact with my mentor to the scope of activities identified by The Mentoring Project and I understand that any relationships or contacts between the mentor and mentee outside of Program activities are neither condoned nor encouraged by The Mentoring Project. 5. Understand that my Mentor is not acting as a licensed professional and that his or her advice is not expert. 5. Understand that even though my mentor may not be considered a mandatory reporter under Washington State Law (RCW 74.34) or any other state law, he or she might report suspected abuse, abandonment, neglect, or financial exploitation of a vulnerable adult. 6. Understand that I can anonymously report my mentor for inappropriate behavior by contacting info@mentoringproject.org. 7. Allow The Mentoring Project to inform my campus of my participation. 8. Release and hold harmless The Mentoring Project and its Advisory Board from any and all claims, causes of action, liability, or damages arising from my mentor relationship.

Yes, I agree to the above