Yes! I am interested in getting started with a College MAPS Mentor!

College MAPS, Mentoring and Planning Services. Student Mentorship Intake Form

Tell us about yourself so we can match you (your child) with the best college mentor. Our program matches college students with younger learners based on academic strengths, shared interests, and specific passion areas including service, research, STEM, arts, sports, and more.
Student Information

Please tell us about yourself.
Student Full Name

First NameLast Name
Current Grade
School Name
Student Email Address
example@example.com
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Student Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
How did you hear about College MAPS?(check all that apply)

Other
If a referral, please tell us their name below
Academic Background

Help us understand your academic interests and needs.
Favorite school subjects
Subjects you want support in (check all that apply)

Other
Are you interested in exploring future college majors and/or careers?
If yes, which majors and/or career areas?
Passion Projects & Interests

Share your activities, hobbies, and interests.
Are you involved in any clubs, sports, or activities?
If yes, please list them
What are your hobbies or creative interests outside of school? (check all that apply)

Other
Is there a project you’d be excited to explore with a college mentor?
If yes or maybe, describe:
Are you a student athlete? If so, which sport and are you interested in being a recruited athlete
Learning & Study Preferences

Help us to understand how you learn best.
How do you best learn? (Choose all that apply):

Other
What type of support would you like? Check all that apply:
When you work with others, you prefer:
Personality & Match Fit

Let us know about your personality and mentor preferences.

How would you describe yourself on these scales:

Rows	1	2	3	4	5
Introverted — Extroverted
Serious — Playful
Independent — Collaborative

Do you prefer a mentor who is:
Anything else we should know about your personality or ideal mentor?
Goals & Motivation

Share your goals and what you hope to get out of this mentorship.
Why are you interested in having a college mentor?
What would make this mentorship feel successful for you?
What are your goals for the next year (academic, personal, or both)?
Availability & Logistics

Help us understand your schedule and preferences.
Preferred meeting frequency

Other
Preferred Days and Times
Final Notes

Anything else you'd like us to know?
Is there anything else you’d like us to know to help make the best match?
Should be Empty:

College MAPS, Mentoring and Planning Services. Student Mentorship Intake Form

Student Information

Academic Background

Passion Projects & Interests

Learning & Study Preferences

Personality & Match Fit

Goals & Motivation

Availability & Logistics

Final Notes