Student Ally Application

STUDENT ALLY APPLICATION

Thank you for your interest in volunteering for the Ally program! Our Student Allies play an integral role in supporting students with disabilities with their transition into university.

This application helps us to find the best possible Ally-SAS Student match.

Please submit completed form to – or contact us should you have any questions.

BASIC INFORMATION

First Name: / Preferred First Name: / Last Name:
Address: / ☐On Campus
McMaster Email: / Alternative Email:
Phone: / Preferred Method of Contact: / ☐McMaster Email ☐Alt Email ☐Phone
Languages Spoken: / Gender: / Birthdate (exclude year):
Preferred Pronoun:

EDUCATIONAL BACKGROUND

Student Number: / Faculty:
Program: / Year of Study (for this Sept):
Please describe your desired career path (if applicable):

SKILLS AND INTERESTS

Please describe any knowledge or experience working with persons with disabilities and/or previous volunteer experience.
Please specify some personal interests to help us better match (sports, favourite TV/movie, arts, etc.)
Are you involved/interested in intramurals offered by DBAC? If so, please specify.

MATCH PREFERENCES

Would you like to be matched with someone in the same faculty as you? / ☐Yes ☐No
☐No preference
Are you open to working with all genders? If no, would you prefer to be matched with someone of the same gender? / ☐Yes, any gender
☐No, same gender
Are you open to working with all types of disabilities? If you have a particular disability you’d like to learn more about/work with, please indicate. / ☐Any disability
☐______
Please check off the areas you have expertise in and could assist a SAS student with:
Skills Development / Campus/SAS Navigation / Social
☐Study skills
☐Time management
☐How to use McMaster website (MOSAIC, Avenue to Learn, etc.)
☐How to speak with professors / ☐Navigating campus
☐Available services and locations on campus
☐Bus routes
☐Library use
☐Finding a tutor
☐Accessing scholarships and bursaries / ☐Connecting with student clubs and committees
☐Getting involved in athletics/recreation
☐Community engagement – what’s available off campus
☐Attending events with SAS Student
Please rank (with 1 being most) the areas in which you’d most like to provide support. / ____ Skills Development
____ Campus/SAS Navigation
____ Social
Is there a particular area you are not comfortable providing support? / ☐Skills Development
☐Campus/SAS Navigation
☐Social

COMMITMENT AND AVAILABILITY

If you are a welcome week volunteer, would you be unable to participate in the Ally program during that week? / ☐Yes, I can volunteer during that week
☐No, I am unable to volunteer during that time
Term availability to be an Ally: / ☐Fall (Sept – Dec) ☐Winter (Jan – April)
☐Fall and Winter (Sept – April)
How often are you able to volunteer?(on average student allies volunteer for 2 hours per week) / ☐Weekly ☐Biweekly
☐Monthly ☐Other ______
Availability (if known at time of application – this can be updated once timetables are released)
MON / TUES / WED / THURS / FRI / SAT / SUN
Mornings / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
Afternoons / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐
Evenings / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐

I have read and understood the information given here about the Student Ally program. I agree that:

• All the information I provided is true and will be used when matching a SAS student with me
• During the matching process, that information on this form may be shared with my SAS student match
• Being matched with a SAS student fitting all my preferences and/or criteria cannot be 100% guaranteed
• If there are any reasons that I cannot continue in this program, I will notify my match and the Transition Coordinator

Signature: ______Date: ______