fullCIRCLE Alumni, Employer, Faculty or Staff Mentor 2022-23 Application

fullCIRCLE is a sustainable, multilayered program designed to assist its participants in effectively adjusting to the different challenges of college life, including those that are academic, social, professional and personal in nature, with the goal of retention. The program serves first-year and upper-class students with an emphasis in Black/African American, Asian American/Pacific Islander, Hispanic/Latinx American, and Indigenous/Native American students. fullCIRCLE promotes academic success, identity development, community leadership, and social responsibility.

AEFS mentors will offer guidance, provide consistent support, and serving as a positive role model, all critical factors in our students' retention and overall success at SU.

Name Name First Last
Email
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number Phone Number - ### - ### ####
Please indicate which constituency you are applying for:

Please indicate which constituency you are applying for: Alumni Mentor- Someone who graduated with an undergraduate degree from Syracuse University. Employer Mentor- Someone who works in industry, did not graduate from Syracuse University and is interested in partnerships with Syracuse University students for job and professional development opportunities, internships, and networking. Faculty/Staff Mentor- Someone who currently works at Syracuse University in a full-time administrative or academic capacity.
Race
Ethnicity
Gender
Indicate your pronouns:

Indicate your pronouns: She/her/hers They/them He/him/his Other Other
Profession & Education

Please populate each field completely and thoroughly.
Position Title
Organization/Company
Work Address (City/State)
Highest Degree Completed

Highest Degree Completed Less than high school High school graduate Some college 2 year degree 4 year degree Professional degree Doctorate
Undergraduate field of study:
Undergraduate Institution:
Graduate field of study (if applicable):
Graduate Institution (if applicable):
Degrees or Certifications
If there is any other educational information you want to share with us, please list it below:
Mentoring Information

Please answer all questions completely and thoroughly. We are interested in your mentoring history so we can match you appropriately and better provide services and training to you.
Have you ever been a mentor?

Have you ever been a mentor? Yes No
If yes, was it a formal, or informal relationship?

If yes, was it a formal, or informal relationship? Formal Informal
Have you ever participated in the fullCIRCLE Mentoring Program?

Have you ever participated in the fullCIRCLE Mentoring Program? Yes No
If yes, in what capacity did you participate in the fullCIRCLE Mentoring Program? (Choose all that apply)

If yes, in what capacity did you participate in the fullCIRCLE Mentoring Program? (Choose all that apply) Alumni/Employer Mentor Faculty/Staff Mentor Peer Mentor/PMA (as an undergraduate student at SU) First-Year/Transfer Mentee (as an undergraduate student at SU)
Why do you want to participate in Syracuse University’s fullCIRCLE Mentoring Program?
Define mentoring. What does mentoring mean to you?
How do you plan to empower and support your mentee(s)?
What are the strengths you possess that will be beneficial to both the mentoring program and your mentee?
What do you hope to gain from a mentoring relationship?

Please answer yes or no to the following questions. Please answer based on the way you feel instinctively.
	Yes	No
I prefer in-person check-ins rather than email check-ins.	I prefer in-person check-ins rather than email check-ins.Yes	I prefer in-person check-ins rather than email check-ins.No
I prefer email check-ins rather than in-person check-ins.	I prefer email check-ins rather than in-person check-ins.Yes	I prefer email check-ins rather than in-person check-ins.No
I am interested in presenting to members of fullCIRCLE.	I am interested in presenting to members of fullCIRCLE.Yes	I am interested in presenting to members of fullCIRCLE.No
I prefer to be matched with someone interested in pursuing a career similar to mine.	I prefer to be matched with someone interested in pursuing a career similar to mine.Yes	I prefer to be matched with someone interested in pursuing a career similar to mine.No
I prefer to mentor someone who is majoring in the same field or subject as I did in college.	I prefer to mentor someone who is majoring in the same field or subject as I did in college.Yes	I prefer to mentor someone who is majoring in the same field or subject as I did in college.No

Additional Personal Information

Please answer all questions completely and thoroughly.
Please share any hobbies and/or interests you may have:
Do you advise any student organizations at Syracuse University or any other institution? If so, please list the organizations below.
Additional Information and Training

Please note: A completed application does not guarantee a mentor position with the fullCIRCLE Mentoring Program. To be considered to serve as a mentor, one must submit a completed application and attend=the training session offered this summer.
fullCIRCLE Family Meetings are Fridays, 3-5pm. Would you be available to attend at least one session in the fall/spring semester?

fullCIRCLE Family Meetings are Fridays, 3-5pm. Would you be available to attend at least one session in the fall/spring semester? Yes No
Commitment

Commitment Yes, I understand and can attend a training on Friday, July 29th from 12-1pm (via Zoom). No, I do not understand. I understand, but I might have a conflict (please specify via email)
Thank you for taking the time to complete this application! For questions, please contact us at fullCIRCLE@syr.edu or bknieves@syr.edu

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fullCIRCLE Alumni, Employer, Faculty or Staff Mentor 2022-23 Application

fullCIRCLE Alumni, Employer, Faculty or Staff Mentor 2022-23 Application

Profession & Education

Mentoring Information

Additional Personal Information

Additional Information and Training