Forestry Mentoring Program
Student Application Form 2013-14
PLEASE PRINT
GENERAL INFORMATION:
First Name: ______Last Name: ______
Date of birth (mm/dd/yyyy): ______Gender: Male Female
Student #: ______E-mail: ______
Phone #: ______Cell #: ______
Address: ______
City: ______Postal Code: ______
(NOTE: We will be contacting you at the e-mail address listed above to let you know if you have been accepted into the program, so please check it regularly.)
STUDENT INFORMATION:
Year of Study: First Second Third FourthExpected Year of Graduation: 20____
Discipline:
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Forest Sciences
Natural Resources Conservation
- Global Perspectives Major
- Sciences and Management Major
Wood Products Processing
Forestry
- Forest Operations
- Forest Resources Management
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Are you an International Student at UBC? Yes No
Are you participating in Forestry Co-op? Yes No
Will you be living on campus or commuting? On campus Commuting
Which best describes your personality? Extrovert Introvert In-between
List your hobbies / personal interests: ______
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TRI-MENTORING INFORMATION:
Have you been involved with the Mentoring Program in the past? Yes No
If you answered yes to the previous question, please complete the following:
What was your role: Junior Student Senior Student
What year(s) did you participate? ______
Name of mentor: ______
Mentor’s occupation: ______
Mentor’s employer: ______
How did you hear about the Mentoring Program?
Received an e-mail about it from UBC staff Brochure / poster
Visited the Career Services Mentoring website In-class announcement
Visited the Forestry Mentoring Program website Read about it in UBC publication
Friend told me Other: ______
Why do you want to take this program? Describe in 150 words why this program is important to you?
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How will you organize your time to meet your obligations of meetinga minimum of three (3) times with your mentor and fellow student mentee when you get too busy with course work, mid terms, exams and extracurricularactivities?
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What is your main area of interest and career goal?
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My goals for participating in theMentoring Program are: (check all that apply)
Meet alumni with same major Feel more connected to the Faculty of Forestry
Meet other students in my major Learn more about careers with a Forestry degree
Make friends Help me with career and job search skills
Get advice from alumnus working in the field Learn more about UBC career resources
Other: ______
I would like my mentor and I to: (check all that apply)
Tour my mentor’s work place / office Attend student activities together
Meet over coffee, lunch or dinner Attend formal mentoring events
Attend local professional meetings Attend educational events such as lectures, talks
Other: ______
I hope my mentor and I will discuss: (check all that apply)
Career options and job preparation How to network
Realities of the work place How to manage work and family life
My mentor’s work How my mentor chose their career
Academic subjects that will help my career Other: ______
TIME COMMITMENT:
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Are you prepared to dedicate a minimum of 10 – 15 hours over during the 2013-14 academic year to this program? Yes No
Are you prepared to initiate a minimum of three (3) meetings with your mentor and peer mentee between October and March? Yes No
Are you prepared to attend 3 mandatory events? Yes No
- Training session: October 2013 (date to be announced)
- Kick-off event:Tuesday October 22ndfrom 6:00 – 9:00 pm
Forest Sciences Centre (FSC) Room 1221
- Wrap up event: March 2014 (date to be announced)
Are you prepared to write and submit a mid-way update (1/2 page report due in January), submit a feedback form (in March), and complete a post-program on-line survey (in April)? Yes No
If you have any questions about the Forestry Mentoring Program, please contact:
Geoff Anderson
Phone: 604.827.5196 Fax: 604.822.3465 Email:
Forestry Mentoring Website:
UBC Tri-Mentoring Website:
APPLICATION DEADLINE: Friday October 4, 2013 @ 4:00 pm
Please submit your application to:
Geoff Anderson
UBC Faculty of Forestry
Student Services
Forest Sciences Centre
2424 Main Mall
Vancouver, BC V6T 1Z4
Statement for Mentee Application Form – 2011
Personal information provided on this Application form is collected pursuant to section 26 of the Freedom of Information and Protection of Privacy Act, RSBC 1996, c. 165. This information will be used for the administration of the Tri-Mentoring Program.
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