Mentee Intake Form

Name*

First Last

Personal Pronouns*

Student Number*

Carleton Cmail Address*

Enter Email Confirm Email

Only Carleton cmail addresses are acceptable.

What is your hometown? (City, Country)*

Will you be living on or off-campus this fall?*

Living off campus
Living on campus

This information will be used for mentor-mentee matching purposes.

What specialization are you interested in?*

This is just for general matching purposes, if you are unsure just state that you don't know yet.

Self-identification (if applicable)

First generation student
Transfer student
International student
First Nations, Metis or Inuit
Student in a racialized community
Student accessing or planning to access services from the Paul Menton Centre
Varsity athlete status
Francophone
Mature student

Hobbies and Interests*

Please list up to 5.

Send us a picture of yourself

Photo sent

We would like to be able to send a picture of you to your mentor, but only if you feel comfortable with it. The photo can be anything you like as long as it is appropriate. Please send it as an attachment to bpapm@carleton.ca

PAPM First Year Mentee Intake Form