Peer Mentoring Program Application

Peer Mentoring Program Application — Form Fields

This applications template includes 11 fields. Apply to a peer mentoring program as either a mentor or mentee with goals and availability. Free to customize and use on ZenBuild.

• Full Name (text, required)
• Email Address (email, required)
• Phone Number (text, required)
• I am applying as a (dropdown selection, required) — options: Mentor, Mentee
• Current Role or Grade/Year (text, required)
• Field of Study or Industry (text, required)
• Goals for the mentoring relationship (long text, required)
• Preferred Meeting Format (checkboxes, required) — options: In-Person, Video Call, Phone Call, Messaging/Async
• Availability (hours per month) (dropdown selection, required) — options: 2-4 hours, 4-6 hours, 6-8 hours, 8+ hours
• Skills or experience you bring (or seek in a mentor) (long text, required)
• LinkedIn or Portfolio URL (text, optional)