Professional Advising Mentoring (PAM) Volunteer Application

Professional Advisor Mentor Application

  • Full Legal Name
  • Gender
  • Mailing Address
  • Preferred Contact Number
  • Education completed:

  • Complete:

  • Will you be able to meet with a student at least once a month during the school year?
  • Do you have prior mentor experience?
  • How many students would you like to mentor?
  • Mentors often have a particular set of experiences to share, please help us achieve the best possible match by specifying if you would like to mentor a student from a specific cultural background (if available)?
  • Is there a particular student you would like to mentor?
  • Are you willing to have the conduct a background check on you, including fingerprints?
  • List three people (non family members) who can serve as a character references for you.

  • Name
  • Address
  • Name
  • Address
  • Name
  • Address
  • I certify that the information I have supplied is correct to the best of my knowledge. I grant permission for you to contact the references provided. I also understand and agree to the duties and requirements described in the Volunteer Duties and Requirements.
  • Name