Peer Leadership Mentor Application (2018-2019) Question Title * 1. Name Question Title * 2. Email Question Title * 3. Cell Phone Number Question Title * 4. Cumulative GPA Question Title * 5. Shirt Size Small Medium Large X-Large Question Title * 6. Anticipated Graduation Year Question Title * 7. RUID # Question Title * 8. Net ID Question Title * 9. Major and Minor Question Title * 10. What campus do you live on? College Ave. Cook/Douglass Livingston Busch Off-Campus Commuter Question Title * 11. Are you on any kind of Student Conduct Probation? No Yes - If so, please explain below. Question Title * 12. Can you attend the following meetings for training?- Wed Nov 28th 6:30-9:30 pm on College Ave- Wed Dec 12th: 6-8:30 pm on Livingston- Fri Jan 25th: 3:15-7:15 pm on College Ave- Wed Jan 30th: 6-10 pm on College Ave- And the following Fridays in the Spring Semester from 3-5 pm on CA:2/12/82/153/13/83/294/124/19*Please hold these dates* Yes No (Please explain) Question Title * 13. Which PLM interview dates are you available for? Select all that apply Friday, November 9th 6-8 pm Tuesday, November 13th 7-9 pm I am unable to attend either of these times Question Title * 14. Are you involved with anything else on campus? If so, do you hold a leadership position in that organization? How will you make time to be a part of the Peer Leadership Mentor program? Question Title * 15. If your friends were to describe you, how do you want them to describe you? Question Title * 16. What is the best advice you‘ve been given? When did you receive this advice and why is it important Question Title * 17. If you could create a program to engage first year students, with a budget of $100, describe a program you would design and how it relates to leadership. Question Title * 18. If you’re chosen as a PLM, in 2-3 phrases max, what messages would you want to relay to your first year students? Done