Name(Required) First Last Email(Required) Enter Email Confirm Email Legal NameIf differentPhone(Required)Pronouns She/her/hers He/him/his They/them/theirs Other Age(Required)Students under the age of 18 require a work permit and parent/guardian signature for employment Under 18 Over 18 Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code # of Semesters(Required)Enter the total number of semesters you will have completed at GCC by the end of this term# of Credits(Required)Enter the # of credits you will have completed by the end of this term (not incl. transfer credit)Applying to be a...(Required)Check all that apply Peer Mentor Orientation Leader (Virtual/Online) Orientation Leader (In-Person) New Student Guide Interview Availability(Required)Check all that apply. 1/2-hour interviews will be conducted via Zoom. Monday Dec. 1, 2 p.m. Monday Dec. 1, 2:30 p.m. Monday Dec. 1, 3 p.m. Monday Dec. 1, 3:30 p.m. Tuesday Dec. 2, 10 a.m. Tuesday Dec. 2, 10:30 a.m. Tuesday Dec. 2, 11 a.m. Tuesday Dec. 2, 11:30 a.m. Tuesday Dec. 2, 2:30 p.m. Tuesday Dec. 2, 3 p.m. Tuesday Dec. 2, 3:30 p.m. Tuesday Dec. 2, 4 p.m. Wednesday Dec. 3, 12:30 p.m. Wednesday Dec. 3, 1 p.m. Wednesday Dec. 3, 1:30 p.m. Wednesday Dec. 3, 2 p.m. Select AllAlternate AvailabilityIf you're not available for at least three (3) of the times listed above, please list days and times you're free between May 5-8.Personal Statement(Required)Tell us why you're interested in this position at GCC! Max 100 words.OptionalThe following information is optional and has no bearing on your being selected—it is for statistical purposes only. It's also helpful to know what identities and experiences you may have in common with new students and mentees. If you are comfortable and willing to share, please check all that apply to you.Identity First-generation college student (no parent in my household had a college degree when I was growing up) Student of color/BIPOC I have children or other caretaking responsibilities for family members at home I identify as LGBTQ+ I identify as neurodivergent Any other notes or comments?