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Girls Connecting Mentors
Mentoring 4th-8th grade girls
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Name (First and Last)
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Preferred Name
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Parent name
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Parent email
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Parent phone number
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High school/college attending
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Email address
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Town of Residence
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Grade
Sophomore
Junior
Senior
In College
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Hobbies
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Ethnicity
Hispanic
Caucasian/white
Asian
Black
Indian
Other:
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Parent Relationship
Married
Divorced
Other:
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Personality
Outgoing
Confident
Shy
Specific traits wanted for your match
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General Days + Times of Availability
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Number of girls you're available to mentor (each is an hour time commitment per week)
1
2
3
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