Fall 2023 Impact Learning Communities Peer Mentor Application

Name Name * First Last
Student Email *
UIN *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone * - ### - ### ####
Major *
Minor *
Class Status *
Previous Work Experience
Do you have any previous experience in mentoring? If yes, please explain. *
Briefly state why you want to be a mentor. *
What strengths will you bring to this position? *
Have you participated in an Impact Learning Community in the past? *

Have you participated in an Impact Learning Community in the past? Yes No
If so, which one? *
Please select up to three communities you would be most interested in working with as a Peer Mentor. *

Please select up to three communities you would be most interested in working with as a Peer Mentor. Cybersecurity Botany Exploratory Health & Helping Pre-Med Criminal Justice Business Conservation Leadership Computer Science Social Justice Engineering Health Professions Marine Biology Communication Psychology International Studies/Political Science
As part of this application process, please submit a PDF copy of your most recent resume below. *

Attach Files
If you have any further questions about Impact Learning Communities, please email impact@odu.edu