The Vector NETWORK Mentee Sign Up

1. THE Vector NETWORKFirst Year Peer Mentor Program - Application

PROGRAM AND SERVICES

The Vector NETWORK Program provides academic support, leadership and professional development, social activities and referral services,

Apply today if you are interested in achieving success in college, meeting new people, and having fun!

* Please note that the Vector NETWORK program has 30 available openings in this year's program. If you are accepted in the program you will be notified directly by e-mail and/or phone.

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* 1. Is this your first semester of College at Tompkins Cortland CC?

Yes

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* 2. Are you filling this survey out after September 2nd?

YES

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* 3. APPLICANT INFORMATION

Name: *

Address *

Address 2

City/Town: *

State: *

ZIP: *

Cell: *

Cell Phone Provider( att, verizon,sprint): *

E-Mail Address *

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* 4. Gender

Male

Female

Prefer to self describe:

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* 5. What is the highest degree obtained by a parent(s)/Guardian(s) in your household?

Never attended

Attended But Did Not Graduate

Earned Associates Degree

Earned Bacholers Degree

Earned Graduate Degree

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* 6. Ethnicity:

Asain

Black, Non Hispanic

Hispanic

Native American

Multi-Ethnic/ Bi-Racial

White, Non Hispanc

(please specify)

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* 7. Degree Program at Tompkins Cortland CC

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* 8. What are your professional goals? (Please write "undecided" if you are undecided, or you may wish to list a few possible areas of career interest)

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* 9. What is your primary motivation for joining the Vector Network First Year Program?

Social Experiences

Academic Support

Make Connections at Tompkins Cortland CC

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* 10. Describe yourself in three words

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* 11. PLEASE SELECT LEVEL OF INTEREST FROM THE LIST BELOW

	Not Interested	Somewhat	Interested	Very Interested
Music	Music Not Interested	Music Somewhat	Music Interested	Music Very Interested
Art	Art Not Interested	Art Somewhat	Art Interested	Art Very Interested
New Media	New Media Not Interested	New Media Somewhat	New Media Interested	New Media Very Interested
Writing/Poetry	Writing/Poetry Not Interested	Writing/Poetry Somewhat	Writing/Poetry Interested	Writing/Poetry Very Interested
Meeting New People	Meeting New People Not Interested	Meeting New People Somewhat	Meeting New People Interested	Meeting New People Very Interested
Spirituality	Spirituality Not Interested	Spirituality Somewhat	Spirituality Interested	Spirituality Very Interested
Social Networking	Social Networking Not Interested	Social Networking Somewhat	Social Networking Interested	Social Networking Very Interested
Cooking	Cooking Not Interested	Cooking Somewhat	Cooking Interested	Cooking Very Interested
Politics	Politics Not Interested	Politics Somewhat	Politics Interested	Politics Very Interested
Adventure/Outdoors	Adventure/Outdoors Not Interested	Adventure/Outdoors Somewhat	Adventure/Outdoors Interested	Adventure/Outdoors Very Interested
Four Year College	Four Year College Not Interested	Four Year College Somewhat	Four Year College Interested	Four Year College Very Interested
Leadership Opportunities	Leadership Opportunities Not Interested	Leadership Opportunities Somewhat	Leadership Opportunities Interested	Leadership Opportunities Very Interested
Study Abroad	Study Abroad Not Interested	Study Abroad Somewhat	Study Abroad Interested	Study Abroad Very Interested

Other (please specify)

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* 1. Is this your first semester of College at Tompkins Cortland CC?

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* 2. Are you filling this survey out after September 2nd?

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* 3. APPLICANT INFORMATION

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* 4. Gender

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* 5. What is the highest degree obtained by a parent(s)/Guardian(s) in your household?

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* 6. Ethnicity:

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* 7. Degree Program at Tompkins Cortland CC

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* 8. What are your professional goals? (Please write "undecided" if you are undecided, or you may wish to list a few possible areas of career interest)

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* 9. What is your primary motivation for joining the Vector Network First Year Program?

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* 10. Describe yourself in three words

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* 11. PLEASE SELECT LEVEL OF INTEREST FROM THE LIST BELOW

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* 12. Please describe in detail why you would like to participate in the Vector Network First Year Program.