THRIVE Mentor Application

We are pleased that you have considered applying to the THRIVE Mentoring Program at Portland Community College-Rock Creek. Your development as a leader is a core value of this program. Please read through the following application carefully and answer all of the questions to the best of your ability. You will be notified by phone / email if you are selected.

Personal Information Name: Email Address: Phone Number: Date of Birth:

Background How were you referred to the THRVE Mentoring Program? Cumulative GPA: How many credits will you attempt during fall term?

Are you seeking a degree or certificate at PCC? Degree Certificate

Class Level: Credits Completed:

Are you applying for any other leadership positions? Yes No

If yes, for which program and year?

Have you previously been a mentor or mentee? Yes No

If yes, for which program and year? Current employment status:

Will you be receiving Financial Aid? Yes No

Will you be requesting scholarship funds? Yes No

Supplemental Questions

Please provide answers to the following questions. Your work will not be saved in this application, so you may want to save your answers in a separate document.

Why would you like to participate in the THRIVE mentoring program? What do you hope to gain from the mentoring experience? What are three issues/barriers that you think are relevant to first year community college students? How does participating in THRIVE Mentoring program relate to your personal, professional, or educational goals?