Outdoor Wellness Program Mentee Application

Required fields are marked with an asterisk (*).

Name

Pronouns

Year in School

How you heard about the program?

Western Email

Phone Number

Best method of communication?

Phone

If you indicated phone as the best method for communication, which is your preference?

Text

Call

What is the first thing that comes to mind when thinking about nature?

Do you engage or interact with nature already? If so, in what ways?

Favorite Nature Environment? (e.g., rainy woods, blue sky and dry forest, ocean, parks, rivers, creeks, etc.)

Would you be interested in group nature experiences (5-15 people), individual nature experiences working 1 on 1 with your mentor, or both?

Are you into active experiences, passive experiences, or a mixture of both?

Active experiences

Passive experiences

Mixture of both

What do you hope to get out of this program?