Rhode Island College New Student Mentor Program Survey

1. Contact Information:

Contact Information: First Name:
Last Name:
Address:
City/Town:
State:
ZIP:
Email Address:
Cell Phone Number:

2. Intended Major:

Intended Major:

3. Three things you hope to explore and/or experience during your first year at RIC:

Three things you hope to explore and/or experience during your first year at RIC: 1.
2.
3.

4. Three biggest concerns about entering Rhode Island College:

Three biggest concerns about entering Rhode Island College: 1.
2.
3.

5. Favorite food:

Favorite food:

6. Are there any specific characteristics that you would like for your mentor to possess? Every effort will be made to place you in a compatible mentor group, however, it is possible that not all of your specifications will be met due to the characteristics of the available peer mentors.

Are there any specific characteristics that you would like for your mentor to possess? Every effort will be made to place you in a compatible mentor group, however, it is possible that not all of your specifications will be met due to the characteristics of the available peer mentors.

7. Rank your interest in addressing the below issues with your mentor group:

	Very interested	Interested	Not sure	Uninterested	Very uninterested
Time management	Rank your interest in addressing the below issues with your mentor group: Time management Very interested	Time management Interested	Time management Not sure	Time management Uninterested	Time management Very uninterested
Making friends	Making friends Very interested	Making friends Interested	Making friends Not sure	Making friends Uninterested	Making friends Very uninterested
Feeling connected to campus	Feeling connected to campus Very interested	Feeling connected to campus Interested	Feeling connected to campus Not sure	Feeling connected to campus Uninterested	Feeling connected to campus Very uninterested
Unsure about major	Unsure about major Very interested	Unsure about major Interested	Unsure about major Not sure	Unsure about major Uninterested	Unsure about major Very uninterested
Handling the academic workload	Handling the academic workload Very interested	Handling the academic workload Interested	Handling the academic workload Not sure	Handling the academic workload Uninterested	Handling the academic workload Very uninterested
Homesickness	Homesickness Very interested	Homesickness Interested	Homesickness Not sure	Homesickness Uninterested	Homesickness Very uninterested
Finances	Finances Very interested	Finances Interested	Finances Not sure	Finances Uninterested	Finances Very uninterested
Accessibility	Accessibility Very interested	Accessibility Interested	Accessibility Not sure	Accessibility Uninterested	Accessibility Very uninterested
Balancing work, family, and classes	Balancing work, family, and classes Very interested	Balancing work, family, and classes Interested	Balancing work, family, and classes Not sure	Balancing work, family, and classes Uninterested	Balancing work, family, and classes Very uninterested
Meeting people with similar interests	Meeting people with similar interests Very interested	Meeting people with similar interests Interested	Meeting people with similar interests Not sure	Meeting people with similar interests Uninterested	Meeting people with similar interests Very uninterested
Communicating with professors	Communicating with professors Very interested	Communicating with professors Interested	Communicating with professors Not sure	Communicating with professors Uninterested	Communicating with professors Very uninterested
Navigating the campus	Navigating the campus Very interested	Navigating the campus Interested	Navigating the campus Not sure	Navigating the campus Uninterested	Navigating the campus Very uninterested

8. Three reasons why you would like to participate in the mentor program:

Three reasons why you would like to participate in the mentor program: 1.
2.
3.

9. Additional comments:

Additional comments: