Sophomore Residential College Mentoring Interest Form

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Thank you for your interest in mentoring for one of our five sophomore residential colleges (Creative Life, Environment, Ignatian, Leadership, and Service for Justice). We are seeking adult mentors who are willing to accompany students throughout the year, exploring their sense of vocation, and contribute to building and intentional and meaningful community. Mentors are asked to facilitate conversations with students, reflect on monthly questions, participate in all activities, and seek to empower students to take ownership and leadership roles in and out of the mentoring communities. Faculty, staff, administrators, graduate students, alumni of a few years, and friends of Fairfield University can mentor. Undergraduate students who have participated in a residential college experience can also assist as student alumni mentors.

Instructions: Below are a series of questions to help us get to know you and your interests in mentoring. Please complete each section. If you have any questions, e-mail Joseph DeFeo, Director of Living and Learning at jdefeo@fairfield.edu or call (203) 254-4000 ext. 4053.

Applicant Information
First Name *
Middle Initial
Last Name *
Please indicate your most current status. I am a...*	Alumni/ae of Fairfield Faculty Staff/Administrator Graduate Student Undergraduate Student Other/Friend of the University
Contact Information
Address *
Apt./Suite
City *
State *	AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY
Zip *
Home Phone *
Cell Phone
E-mail *
Returning mentor?
Choose One: * I am new to mentoring in a Fairfield residential college I am a returning mentor in one of Fairfield's residential colleges
If returning, please indicate the residential college in which you have mentored. Ignatian Residential College Service for Justice Residential College Creative Life Residential College
Rank Order
Please rank order (1=most preferred) the residential colleges in which you would like to mentor. You can rank order all three or just the one/s in which you are interested. Note: You may select each college only once.
First Choice *	Creative Life Residential College Ignatian Residential College Service for Justice Residential College
Second Choice	Creative Life Residential College Ignatian Residential College Service for Justice Residential College
Third Choice	Creative Life Residential College Ignatian Residential College Service for Justice Residential College
Brief biography, personal experiences and life interests
In the box below, please provide a brief biography, as well as some personal experiences and life interests that help us get to know a bit about you. Include ways you have worked with young adults if applicable.
Recommendation
Please share with us the name and contact information of someone (on or off campus) who could tell us more about you if needed.
Recommender's Name *
Recommender's E-mail *
Recommender's Phone *
Personal Statement
In the space below, please tell us a bit about why you would like to be a mentor. In your response, please include how you attempt to live your life as a vocation. *
Security Challenge
Type the security code exactly as it appears above (case sensitive):