Contact

Phone: 920-424-3465

Email: lgbtqcenter@uwosh.edu

(All information is kept confidential)

Resource Center Hours

Monday through Friday: 9:00 a.m. to 5:00 p.m.

Saturday & Sunday: CLOSED

Please contact us if you cannot make it to the Resource Center during these hours and need assistance.

Location

Room 005 in the Lower level of the Campus Center for Equity & Diversity. Gain access through the Irving Avenue entrance.

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Queer Peer Mentee Application

The Queer Peer Mentor Program enables peers to mentor peers in the process of developing a positive lesbian, gay, bisexual, transgender, or queer identity and of acclimating to college life.

This information is completely confidential. If you have any questions please contact Dr. Liz Cannon at cannon@uwosh.edu

Your E-Mail Address (Required)

Name (First, Last) (Required)

Phone Number (Required)

In what ways do you think a mentor could be of assistance to you? (Required)

What are you looking for in a mentor? (Required)

How would you like your mentor to contact you? Email? Cell phone? (Required)

Race/Ethnicity/Culture

Demographic Information: This information is completely voluntary. You do not need to provide this information if you don’t wish to. If you choose to fill it out, please use the terminology that is most comfortable for you. One of our goals in creating this mentoring program is to ensure that mentees are able to bring all of their “social identities’ to the mentoring relationship. Some may wish to have a mentor with similar sexual orientation, racial, ethnic, age, and/or gender background.

Gender Identity

Sexual Orientation

Age

Any Other Demographic Information?

by Janis, Nicholas A — last modified Apr 29, 2010 02:08 PM

« May 2013 »

Safe, Supportive, and Welcoming

Queer Peer Mentee Application

This information is completely confidential. If you have any questions please contact Dr. Liz Cannon at cannon@uwosh.edu