LARY Buddy application

If you would like to apply to be a LARY Buddy mentor, please fill in each field below and click the submit button once. If you prefer to complete a paper version of this form, please email

*Please note that to become a LARY Buddy mentor you will also be asked to complete a Background Check form which will be sent to you via campus mail as soon as we receive your application (either electronically or in hard copy). Once you fill out the Background Check form, you must return it to the CCE (stop in to the center, or campus mail your application to: CCE) before your application will be considered for acceptance into the LARY Buddy Program.

Thanks for taking the time to apply!

General Information
LARY buddy interest
Thank you for your interest in the LARY Buddy program and taking the time to complete this application. If you have any questions or concerns feel free to contact the LARY Buddy Coordinator.
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