College Mentor Application

Header Background
Legal Name
Preferred Name
Today's Date
Date of Birth
Home Phone
Expected Graduation Date
Sexual Orientation
Gender Pronouns
Gender Identity
Emergency Contact
Phone (Day)
Phone (Night)
How did you hear about Oasis Center?
Check all skills/experiences that you have:
What do LGBTQ youth need to be successful?
Give an example of why a supportive community is important
If you've been involved in a leadership program or held a leadership position, describe your role and/or experience. If not, what type of leader would you like to be?
How do you practice self-care and take care of yourself?
What kind of changes would you like to see within the communities to which you belong?
In one sentence, describe effective mentorship.
Please have a professional reference download and complete the recommendation form at the bottom of this page. Otherwise, email letters of recommendation to

Recommendation Form