What year are you in your studies?
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Freshman
Sophomore
Junior
Senior
Recently graduated
What degree are you pursuing?
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Associates
Technical Certificate
Bachelor
Masters
Other
Have you participated in any of the following Code to Success programs? If so, what year?
Select program...
Code to Success: Utah
Code to Success: Detroit
Code to Success: Charlotte
Idaho Codes
Utah State University Codes
Weber State Codes
Snow College Codes
Not Applicable
Select year...
2016
2017
2018
2019
2020
2021
2022
Not Applicable
How did you hear about the College Mentor position?
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My school hosted a Ken Garff Esports regional event
Teacher/Professor
Counselor/Advisor
Peers
Code to Success Program Manager
Other
What skills and strengths would you bring to the position?
Why should we choose you for the position?
Are you applying for an On-Campus or Online Mentor Position? Please note, we have more On-Campus positions available than we do Online ones.
Select position type...
On-Campus
Online
If hired for an On-Campus position, would you be absent more than three times?
Select option...
No
Yes
Maybe
If applying for an On-Campus position, what are your top two campus choices?
Campus Option 1...
Alpine - Skyridge High School
Alpine - Cedar Valley High School
Cache County - USU Main Campus (Logan)
Canyons - Jordan High School
Davis - Layton High School
Davis - Bountiful High School
Duchesne - Uintah Basin Technical College
Granite - Granger High School
Granite - Olympus High School
Granite - Cottonwood High School
Jordan - Hidden Valley Middle School
Jordan - Copper Hills High School
Jordan - Elk Ridge Middle School
Logan - USU Main Campus
Nebo - Advanced Learning Center
San Juan - San Juan High School
San Juan - Whitehorse High School
San Juan - Monument Valley High School
Tooele - Tooele Community Learning Center
Uintah - Uintah Basin Technical College
Campus Option 2...
Alpine - Skyridge High School
Alpine - Cedar Valley High School
Cache County - USU Main Campus (Logan)
Canyons - Jordan High School
Davis - Layton High School
Davis - Bountiful High School
Duchesne - Uintah Basin Technical College
Granite - Granger High School
Granite - Olympus High School
Granite - Cottonwood High School
Jordan - Hidden Valley Middle School
Jordan - Copper Hills High School
Jordan - Elk Ridge Middle School
Logan - USU Main Campus
Nebo - Advanced Learning Center
San Juan - San Juan High School
San Juan - Whitehorse High School
San Juan - Monument Valley High School
Tooele - Tooele Community Learning Center
Uintah - Uintah Basin Technical College
Which category do you identify with most?
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Hispanic or Latino
Black or African American
Asian
American Indian or Alaska Native
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
White
Two or More
Other
Shirt Size (adult sizes - not fitted)
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XS
S
M
L
XL
XXL
XXXL
Gender Identification
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Identify as Female
Identify as Male
Prefer not to say
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