Why do I want to be a peer mentee?

If this is your first term at University Canada West (UCW), we recommend applying to become a peer
mentee, as you are new to Vancouver and University Canada West.

As a peer mentee, you will:

• Receive information about Vancouver and UCW from your student Peer Supporter during your
first term
• Engage in social events and community life at UCW and around Vancouver
• Increase your knowledge and awareness of the various university services available to you

We will do our best to match you with a Peer Supporter who has similar interests and who we think will
be a good role model for the upcoming year. You should meet with your Peer Supporter for 1-3 hours a
month to check on your academic and personal progress at UCW. You are also encouraged to attend
the group activities each month at UCW. Your Peer Supporter will let you know the times and dates of
these fun events.

Peer Mentee Application Form – Winter 2019 Term – UCW Ambassador Program
Please carefully complete the application form below.

Student Number Phone number

First Name Last Name

Home Country Languages Spoken
Personal Email
Hobbies or Interests

What program are you currently enrolled in?

Associate of Arts (AA) Master of Business Administration (MBA)

Bachelor of Commerce (BCOM) MBA Foundation

Bachelor of Arts (BA) University Access Program (UAP)

The Peer Supporter program runs for approximately three months. Are you able to commit to the entire
length of the program?

Yes No
Peer Mentees are required to connect (either in person, on the phone, or via e-mail) with their Peer
Supporters for a maximum of one hour, at least once a week for the entire duration of the program. Are
you able to commit to connecting for a maximum of one hour once a week?
Yes No

What kind of person would you like your Peer Supporter to be? (A good listener, active in sports, etc.)

What help would you like to receive from a Peer Supporter?

What do you want to learn from your Peer Supporter?

In order to ensure a good experience for both the peer mentees and peer supporters, it is essential for
all selected peer mentees to attend all the social events and regular meetings with their peer
supporters. All the events are scheduled on Wednesday. Students who want to be a part of the
program should clear their schedule on Wednesday. Below is a list of the important events and
projected timelines. *No dates and times will be changed unless other arrangements have been made
for special occasions.

Winter 2019 Dates* Time* Event location

Week 2 Wed, Jan 9th 1:00 – 3:00 pm Social events with all peer mentees TBA
Week 3 - 8 Weekdays 1 hour per week Meet with your Peer Supporter TBA
Week 9 Wed, Feb 27th 1:00 – 3:00 pm Social events with all peer mentees TBA
Week 10 - 12 Weekdays 1 hour per week Meet with your Peer Supporter TBA
Spring 2019 Dates Time Event name location
Week 2 Wed, April 10th 2 hours Appreciation Events/Issue TBA
certification and awards (not
compulsory, but recommend to
join)

* Date and Time are subject to change.

2
Mentee Participation Agreement
Mentee participants in the UCW Ambassador Program are expected to adhere to the following
requirements:
• I understand that it is in my best interest to attend as many meetings, workshops, information
sessions, and social activities as possible (including in-person interactions with my Peer
Supporter);
• I agree to exercise good judgment and uphold institutional standards, including the Code of
Conduct and all policies detailed in the UCW Ambassador Handbook. Also, I understand that I
should strive to remain in good academic and social/judicial standing with the university;
• I must have email and internet access over the course of the program;
• I should respond in a timely manner to all forms of communication from my Peer Supporter;
• I should use appropriate language in all correspondence and interact with my Peer Supporter in
a courteous and respectful manner;
• I must maintain confidentiality with any personal information my Peer Supporter shares with me;
• I will notify a Student Services Coordinator or Student Services Manager of any Peer Supporter
who acts inappropriately during in-person interactions and/or other communication; and
• I should respond in a timely manner to all requests related to the peer supporting experience
made by the Student Services Coordinator or Student Services Manager.

I have read and understand the above statements. I understand that full participation in the peer
supporting experience and meeting the above mentioned guidelines are requirements for being a
participant in the UCW Ambassador Program and I agree to fulfil these responsibilities to the best of my
ability. My signature below indicates that I accept the offer to be a participant for my first term through
University Canada West. UCW reserves the right to update, change or replace any part of UCW
Ambassador Program.

Mentee’s Signature: Date (YYYY/MM/DD)

(or typed name if submitted electronically)

Associate Dean of Students Signature: Date (YYYY/MM/DD)

(or typed name if submitted electronically)