2021 TPE Academy Coach Application Form
Name:
First Name
Last Name
Preferred name that you would like us to use in communicating with you and for materials such as name badges:
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Please indicate your preferred gender pronouns that you would like us to use in communicating with you and for materials such as name badges:
she/her/hers
he/him/his
they/them/theirs
ze/hir/hirs
ze/zir/zirs
I don't use a pronoun
I'd prefer not to answer
Other
Gender Identity:
Agender
Gender non-conforming
Genderqueer
Man
Transgender
Transman or Transmasculine
Transwoman or Transfeminine
Woman
I'd prefer not to answer
Other Gender Identity
Please select one or more options that apply to you; use CTRL + click to select multiple items
If you responded with 'Other Gender Identity" above and you'd like to describe your choice further, please do so below:
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Sexual Orientation:
Asexual
Bisexual
Gay
Heterosexual or Straight
Lesbian
Pansexual
Queer
Questioning or Unsure
I'd prefer not to answer
Other Sexual Orientation
Please select one or more options that apply to you; use CTRL + click to select multiple items
If you responded with 'Other Sexual Orientation" above and you'd like to describe your choice further, please do so below:
Racial/Ethnic Identity:
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Multi-racial
Native Hawaiian or Other Pacific Islander
Non-US/International
White
I'd prefer not to answer
Other Race/Ethnicity
Please select one or more options that apply to you; use CTRL + click to select multiple items
If you responded with 'Other Race/Ethnicity" above and you'd like to describe your choice further, please do so below:
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Email Address:
Phone Number:
-
Area Code
Phone Number
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Current Institution/Organization/Company Name:
Current Position/Job Title:
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Please indicate the student affairs functional area that most closely matches your current position:
Academic Advising
Admissions
Alumni Programs
Campus Activities
Campus Safety
Career Services
Civic Learning & Democratic Engagement
Clinical Health Programs
College Union
Community Service/Service Learning
Commuter Student Services
Counseling Services
Disability Support Services
Enrollment Management
Financial Aid
Fraternity & Sorority Life
GLBT Student Services
Graduate & Professional Student Services
Intercollegiate Athletics
International Student Services
Learning Assistance/Academic Support Services
Multicultural Services
Nontraditional Student Services
On-Campus Dining
Orientation
Recreational Sports
Registrar
Residence Life & Housing
Spiritual Life/Campus Ministry
Student Affairs Assessment
Student Affairs Fundraising & Development Student Affairs Research
Student Conduct (Academic Integrity)
Student Conduct (Behavioral Case Management)
Student Media
TRIO/Educational Opportunity
Veterans’ Services
Wellness Programs
Women’s Center
Other
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Please indicate how many years you've worked within the student affairs profession (please do not include your undergraduate or graduate-level experience):
Less than a year
1-3 years
3-5 years
5-7 years
7-9 years
10 years +
15 years +
20 years +
Other
Please indicate the highest level of education you've completed:
Associate's Degree
Bachelor's Degree
Master's Degree
Doctoral Degree
Other
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Have you attended a TPE on-site or TPE Virtual event as a candidate, employer, mentor, or TPE team member?
Yes
No
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Please describe your past engagement with TPE:
Please indicate the last year in which you attended the TPE on-site or TPE Virtual event:
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Have you been a mentor or coach through TPE before?
Yes
No
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Why do you want to be a TPE Academy coach?
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Please describe any relevant past experience you've had with coaching and/or mentoring:
What are some qualities of a good coach or mentor?
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What are the top three (3) things you believe candidates should know when they attend the TPE virtual event?
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Will you be attending the TPE Virtual Event as a candidate or employer in 2021?
Yes
No
I'm not sure
Are you able to commit to serving as a TPE Academy coach from mid-February to May 2021 and stay in regular communication with your assigned mentee?
Yes
No
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Is there any additional information that you would like to share?
Submit My Application
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