College Mentor Application

Header Background
Legal Name
Preferred Name
Today's Date
Age
Date of Birth
Address
City
State
Zip
Home Phone
School
Expected Graduation Date
Sexual Orientation
Gender Pronouns
Race/Ethnicity
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 pregan@oasiscenter.org

Recommendation Form