Access Us Peer Mentor Request Form Feb 13, 2020 Contact informationName: * Required First Last Preferred name: Pronouns: Email: * Required Phone:Are you comfortable with us providing your mentor with your phone number? Yes No Who is your accessibility advisor? * Required Academic informationWhat year of studies will you be starting in September? * RequiredIf you are registering later in the academic year, what year of studies are you in now? What college or faculty are you part of? * Required What is your program of study? * Required PreferencesI would like to work with a peer mentor because I am hoping to... * RequiredMy biggest worry for this year is... * RequiredDo you have any preference for your mentor? E.g. gender, age, whether they have a disability or not. Please describe: * RequiredDescribe your comfort level working with people from other cultural backgrounds than your own: * RequiredFreedom of Information and Protection of Privacy Act * Required I agree to the privacy policy.The University of Toronto respects your privacy. Personal information that you choose to provide voluntarily to the University is collected pursuant to section 2(14) of the University of Toronto Act, 1971. It is collected for the purpose(s) of program administration. At all times it will be protected in accordance with the Freedom of Information and Protection of Privacy Act. If you have questions, please contact as.learning@utoronto.ca.
