Qualtrics Survey | Qualtrics Experience Management

What is your KUID?

What is your name?
(Does not need to be legal name)

What is your email address?
KU email preferred

What pronouns do you currently use?

What campus are you affiliated with?

Lawrence
Edwards
Med Center
Haskell

Are you an undergraduate or graduate student?

Undergraduate
Graduate

What year are you?

What is your major or field of study?

How do you identify in terms of your sexual orientation?

How do you identify in terms of your gender identity?

Are there other identities you would like considered when being paired with a mentor (race, ability, country of origin, etc.)? If so, please let us know how you identify or what is important to you in being paired.

Do you have any hobbies or interests you’d like to share with your mentee?
Family traditions, video/board games, crafts, movies, music, loves animals, into poetry, etc.

What are you hoping for through your participation? Why do you want to participate?
General connection, advice, guidance in figuring out identities, job search support, etc.

Is there anything else you’d like to share with us?

We will attempt to match students with mentors who share some of their identities. If we are not able to make an exact match for sexuality or gender, are you still interested in being paired with a mentor? Is there one trait in particular you would like your mentor to have or be?