Peer-to-Peer Mentorship Registration Form

Registration Information
Mentorship
You are an upper-year (2nd year or higher) Nipissing University student interested in volunteering.
You are a student hoping to be connected with a mentor (available to students in all years of study).

Days and Times Available for Peer2Peer Mentorship Work

EpiPen
Language(s) Spoken

Emergency Contact Information

If you have any questions, please contact Alison Jackson, Indigenous Mentorship Coordinator, at alisonj@nipissingu.ca.

Protection of Privacy

The information on this form is collected under the authority of the Nipissing University Act, 1992. It is related directly to and needed by the University to support your request for Wiidooktaadwin Indigenous Mentorship activities with a community partner organization. Employees of the Wiidooktaadwin Indigenous Mentorship Department, Enji giigdoyang, Office of Indigenous Initiatives and the secondary school that you will be partnered with will use the information. If you have any questions about the collection, use, and disclosure of this information, please contact: Wiidooktaadwin Indigenous Mentorship Initiatives, Nipissing University, 100 College Drive, North Bay, ON, P1B 8L7