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Welcome to Stony Brook University! This form is intended to be used by students who are interested in being paired with a peer-mentor, typically leading up to, or during, their first year at the institution. Upon receipt of your submission, our office will be in touch with you to discuss next steps in the peer-mentor pairing process.

If you reached this form by mistake and were, instead, looking to inform the office that you are interested in becoming a peer mentor (as a seasoned Stony Brook student), please visit the Become a CA page on our website.

First Name:

Last Name:

Stony Brook ID Number

Phone Number:

Email:

Please select your pronouns:

She, her, hers
He, him, his
They, them, theirs
If your pronouns were not included above please enter them below:

Are your a Freshman or a Transfer student?

Freshman
Transfer

Do you identify as a traditional student (age 23 and under) or a non-traditional student (age 25+, veteran status, etc).

Traditional Student
Non-Traditional Student