Community College of Rhode Island Success Centers

Request a Mentor

Date:         
Name:          *CCRI Student ID #:

*Your CCRI ID# is the 8-digit number below your name on your Student ID.  The number is also visible within MyCCRI.  After logging-in, select: "For Students >  Student Schedule". Your ID# will appear on the right-hand part of the "Select Term" screen, to the left of your name.

Street Address:
City: State: Zip Code:
Intended Major:         
Phone #:         
CCRI E-mail address:         
Hobbies/Interests:

Please indicate your protégé status:  New  Experienced

# of credits accumulated:    GPA:

I was referred to the Mentoring Program by:

CCRI Website Campus Recruiting Table Flyer/Brochure Online Announcement Friend
Advisor Faculty Member Other


Did either of your parents attend college? Yes  No
 

When are you are available to meet with a mentor?

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday


Please choose your campus: