COMD HABITS TO SUCCESS PROGRAM

Peer mentor application Winter 2013 NAME: E-mail: Phone number: 1. How many hours could you work per week? 2. What were your grades in the following courses? When did you take these courses? COMD 300: Grade: ________ COMD 402: Grade: ________ COMD 420: Grade: ________ COMD 456: Grade: ________ COMD 458: Grade: ________ COMD 460: Grade: ________ COMD 461: Grade: ________ COMD 462 : Grade: ________ COMD 463 : Grade: ________ Quarter Year Quarter Year Quarter Year Quarter Year Quarter Year Quarter Year Quarter Year Quarter Year Quarter Year ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________

3. What jobs have you held in the last 2 years?

4. Why would you like to be a peer mentor in the COMD Habits to Success Program?

5. Please read what the peer mentor is expected to do: a) Work for the established hours (between 3 and 4 pm), during the quarter (10 weeks). b) Follow the COMD Habits to Success Program manual instructions. c) Maintain communication with Dr. Simon-Cereijido, the course instructor, and the student mentees in a reliable and efficient manner. d) Have access to a @calstatela email address and to a computer with internet access. e) Maintain a log for each meeting. f) Prepare a brief end of the quarter report summarizing the quarter work. Please check: I agree ____________ I dont agree _______________