Intercultural Mentoring Programme (PeerConnect)

First name

Last name

Nationality

Student number

Gender

Female Male Diverse

Date of birth

You start your studies as

Study programme

Faculty

Semester

You would like to be

Mentor Mentee

Email

Telephone

Languages you speak and on which level?

Your personal goals as a mentor/mentee

Describe your personality

Further information about you (your hobbies, special interest, experiences, skills, countries you want to visit, languages you want to learn)

How did you hear about the programme?

I hereby agree to spend at least 1 hour per week for my mentor/mentee

I hereby agree to participate in the following mandatory events and workshops:

If I fail to do so, I would contact the person in charge of the programme at iment@hs-heilbronn.de

Conditions of participation

I have read and accepted the conditions of participation

I hereby agree that the personal data provided by me will be processed by the Heilbronn University within the mentoring programme. These data will be used for mediation of mentoring partners and will be processed for evaluation purposes. If this agreement is revoked, my data would be immediately deleted. I hereby agree that my contact details will be shared among mentors and mentees.
I commit that I will not give any contact details through this network to any third parties without expression of consent.
I hereby agree that during events organised by the intercultural mentoring programme, photos of me will be taken for documentation purposes

Consent to personal data processing

I have read and accepted the policy of processing personal data

Comments/ Questions

Registration has ended