Coaching Acceptance Form | Academic Achievement Center

Step 1 of 4

25%

Campus(Required)

Hartford

Storrs

Waterbury

New or Returning Coach(Required)

New

Returning

Position Accepting(Required)

AAC Coach

MC (Master/ Mentor Coach)

AAC Intern

Connects Volunteer

Name(Required)

First Last

Preferred Name (For shirt & name tag)

Please submit if preferred name is different from above.

T-Shirt Size

XXL

Other

Pronouns

NetID(Required)

PeopleSoft Number(Required)

UConn Email(Required)

Phone Number(Required)

Major

Next semester, I will be considered a...(Required)

Sophomore

Junior

Senior

Fall 2024 Housing Plans(Required)

On Campus

On Campus Apartment

Off Campus, near UConn

Off Campus, at home

MBTI Personality Type

If you have not taken the assessment, please complete the following online assessment as part of your position acceptance at: https://www.16personalities.com/ (Example: ENFJ)

I participate in or identify as...

Campus Change Student

Transfer Student

First Generation Student (Neither parent has a 4-year college degree)

CAPS Student (formerly SSS)

UConn Student-Athlete

International Student

Past UConn Connects Participant

Member in Fraternity/ Sorority Life

Dietary Restrictions

None

Vegetarian

Vegan

Gluten Free

Dairy Free

Other

Mandatory Pre-Semester Training(Required)

Yes

I understanding as a part of accepting this position pre-semester training is required and tentatively scheduled for the weekend prior to the first day of classes. More information about exact dates and times will be sent via email. If you are unable to attend training, please contact Val immediately at Valerie.nightingale@uconn.edu (Storrs), Ada at Ada.Rivera@uconn.edu (Hartford), or Karima at Karima.Jackson@uconn.edu (Waterbury)

STORRS MCs ONLY:

Please select your preference for Master Coaching Discussion on Mondays

Please submit coaching Bio for the Website:(Required)

See https://achieve.uconn.edu/studentstaff/ for examples

Additional Information

(include helpful information for pairing with participants, training etc.)

This field is for validation purposes and should be left unchanged.

Fall 2024: Academic Coach & Intern Acceptance Form