Peer Mentor Major Consult

Form to be used for major consults

Date / MM / DD YYYY
Time : HH MM AM/PM
Name of Peer Mentor
Type of Consult *

Type of Consult MC1: Career Centre MC2: Adding/Dropping Courses MC3: ESL MC4: Essays/Assignments MC5: Finding an Advisor MC6: Orientation Follow-up MC7: Stress Issues MC8: Program Help MC9: Research Help
Name of Student
Student's York ID:
Program
Student's Email
Were you referred via the You@York text messaging platform?

Were you referred via the You@York text messaging platform? -- No more choices left --
Does the course you have received this consult for offer bonus points? *

Does the course you have received this consult for offer bonus points? Yes No
Please select your course from the following list:
Please state your course code:
Course Professor
What was discussed?
What was the feedback?