Apply to be a Mentee

Number of Years within the UH DSA:

Are you a current full-time employee of the University of Houston within the Division of Student Affairs?

Yes
No

Please explain what you hope to gain from the DSA mentoring program

Supervisor Information

My supervisor has been informed of my intent to join the DSA mentor program:

Yes
No

References

Reference #1

Reference #2

I understand that the DSA mentoring program is competitive and that mentors and mentees will be selected and matched by the committee based on needs and potential benefits. I also understand that, if selected as a mentor, I am making a commitment to meet with my mentee for one hour each week for the first four weeks, and then once at least month thereafter until the completion of the one year mentoring cycle. During the first four weeks, I will work with my mentee to establish goals with measurable outcomes. The meetings and discussions with my mentor will be held in confidence. Only a brief report from my mentor which outlines the outcome measures agreed upon, and documents the meeting dates, will be shared with the committee.

By pressing the submit button below,you agree to the above statement.