FW22-23 York International Global Peer Program Registration

Thank you for your interest in the Global Peer Program at York International.

Please complete this registration form carefully so we can match you with an experienced student who will help support your transition to York University.

To find more information about the program visit: http://yorkinternational.ca/peerprogram

Name: Name: * First Last
Preferred Name:
Preferred Pronouns (she/her, he/him, they/them, etc.)
York Student Number: *
Must be between 6 and 9 digits. Currently Entered: 0 digits.
YorkU Email Address (@my.yorku.ca e-mail or @yorku.ca domain) *

Confirm YorkU Email Address *
Alternative Email Address:
Local Phone Number: Local Phone Number: - ### - ### ####
Faculty *
Program of Study: *
Study Level: *

Study Level: Undergraduate Graduate YUELI
Student Status: *

Student Status: International Domestic Exchange - Full Year Exchange - One Semester YUELI
Term you begin your studies at YorkU: *
How did you first hear about this program? *

How did you first hear about this program? York International website York International social media (Facebook, Instagram, Twitter, TikTok, WeChat) York International staff From a professor, TA, or other staff International student orientation session Poster or Flyer Email From another student Other Other
Why do you want to join the Global Peer Program? *
Maximum of 300 characters allowed. Currently Entered: 0 characters.
What are your expectations from the Global Peer Program? *
Maximum of 300 characters allowed. Currently Entered: 0 characters.
How can York International help your transition to York University through the Global Peer Program? *
Maximum of 300 characters allowed. Currently Entered: 0 characters.
List all languages spoken:
List your talents and hobbies:

List your talents and hobbies: Public Speaking Graphic Design Web Design Writing Research Networking Leadership Performing Singing Dancing Other Other
Self-Identification Survey:

Dear YorkU Member,

At York, we boast a culture of respect, equity, diversity and inclusivity, where we value each other's differences and exercise our strengths. The following survey is optional but highly encouraged. This survey will help us identify students’ individual backgrounds to offer services and resources adaptable to different situations and needs.

An example of an effort to build respectful and inclusive relationships with the Black community at York University includes the Black Excellence at York University.

Black Excellence at York University (BE YU) provides Black students with the supports they need to transition to university and maximize their student experience on the path to graduation. Through workshops, specialized events, mentoring, academic advising and more, BE YU is designed to champion the academic, professional and personal success of York’s Black student community. To learn more, visit:https://futurestudents.yorku.ca/black-excellence.
Gender: *

Gender: Female Male Non-binary I prefer not to disclose information about my gender.
Home Country (Please put N/A if you prefer not to disclose): *
Ethnicity/Cultural Background: (You are invited to check all that apply) *

Ethnicity/Cultural Background: (You are invited to check all that apply) Arab Black (e.g. African-American, Canadian, Carribean) Chinese Fillipino Japanese Korean Non-Hispanic White or Euro-American Non-White Latin American (including indigenous persons from Central and South America) Non-White West Asian (e.g., Iranian, Lebanese, Afghan) South Asian/West Indian (e.g., Bangladeshi, Pakistani, Indian, Guyanese, Trinidadian, Sri Lankan, East African) South East Asian (e.g., Burmese, Cambodian/Kampuchean, Laotian, Malaysian, Thai, Vietnamese, Indonesian) Persons of Mixed Origin I prefer not to disclose information about my ethnicity/cultural background. Other Other
Persons with disabilities are those that have a long-term or recurring physical, mental, sensory, psychiatric or learning impairment). Based on this definition, are you a person with a disability? *

Persons with disabilities are those that have a long-term or recurring physical, mental, sensory, psychiatric or learning impairment). Based on this definition, are you a person with a disability? Yes No I prefer not to say.
An Aboriginal (Indigenous) person is a North American Indian, Métis, or Inuit and/or a Treaty Indian or a Registered Indian and/or member of an Indian Band/First Nation. Based on this definition, are you an Aboriginal (indigenous) person? *

An Aboriginal (Indigenous) person is a North American Indian, Métis, or Inuit and/or a Treaty Indian or a Registered Indian and/or member of an Indian Band/First Nation. Based on this definition, are you an Aboriginal (indigenous) person? Yes No I prefer not to say.
LGBTQ2+ is an acronym for persons who identify, for example as, lesbian, gay, bisexual, transgender, two-spirited, genderqueer, questioning, or who otherwise express gender or sexual diversity. Based on this definition, do you identify as LGBTQ2+? *

LGBTQ2+ is an acronym for persons who identify, for example as, lesbian, gay, bisexual, transgender, two-spirited, genderqueer, questioning, or who otherwise express gender or sexual diversity. Based on this definition, do you identify as LGBTQ2+? Yes No I prefer not to say.
Note:

By signing up for this Peer Program, I give my consent for York International to provide my contact information to my Peer Mentor.

FW22-23 York International Global Peer Program Registration

FW22-23 York International Global Peer Program Registration

Note: