Tuskegee University 2019 STEM BUILDERS Academy Application Form for Peer Mentors

    Peer Mentor Information

    Contact Information

    Medical Concerns

    The Tuskegee BUILDERS Academy meets for most of the day and will provide lunch and snacks to peer mentors. Please, let us know whether you have any medical concerns of which we should be aware.
    If you answered "yes" to either of the questions above, the Academy will reach out to the person listed as primary emergency contact to ensure that your needs are met during Academy days.

    Emergency Contacts

    If you are selected as a peer mentor, who should we contact in case of an emergency?
    If the primary contact cannot be reached, who should we contact in case of an emergency?
    By submitting this application, you are declaring that all the information provided in this application is factual and complete. You also agree that, if selected to participate in the Tuskegee BUILDERS Academy, you will take part in all Academy activities as assigned to you by faculty mentors. You also acknowledge that failing to satisfy any of these requirements will lead to loss of the stipend and/or termination of your contract as peer mentor.

    After you submit your application, you should see a message confirming that the application was successfully submitted. If you do not see this confirmation message, your application was not received and you need to submit it again. If you continue to have problems submitting your application, please use our Contact Form or e-mail us at TuskegeeBuildersAcademy@gmail.com.
You can also download the application, fill it, and submit it by email or postal mail by clicking here.