YES Initiative Interest Form

Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code

Birth Date*

Email Address*

FTCC Student ID Number*

Enter your seven (7) digit FTCC ID

What is your program of study?*

If you selected Other, what is your program of study?*

Enrollment Status*

Full Time
Part Time

Beginning Fall 2023, Y.E.S. students can receive an FTCC Buddy (Faculty, Staff, or student) selected to provide support and resources. Would you like to be assigned at FTCC Buddy?*

Yes
No

Please check your Buddy Preference:*

FTCC Faculty/Staff
FTCC Student

How did you hear about the Y.E.S. Initiative?*

Interested in becoming a Mentor or Mentee?*

Mentor
Mentee

Which are you most interested in?*

Career Planning
Etiquette
Goal Setting
Public Speaking
Team Building
Time Management

What skills would you like to know more about?*

If you selected Other, what would you like to know more about?

Y.E.S. Initiative Interest Form