Middle School Lunchtime Mentor Program Questionnaire
Please take a few minutes to share about yourself. Some School Counselors allow students to read through Mentor applications to find a Mentor who is the best fit for them. Keep this in mind as you answer and give as much detail as you are comfortable sharing with prospective Mentee students.
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Email *
The name you prefer to be called:
Your pronouns:  (Unsure? Learn more here!: https://www.mypronouns.org/sharing)
Do you identify as part of any minority groups? (We love to help students find Mentors with similar lived experiences)
Language(s) spoken:
What does an average day look like for you, be specific. (tell us about your job, being a student, or parent, etc.)
Students enjoy connecting with Mentors with shared interests: What's something you're passionate about?
What do you do for fun? (Please list at least 3)
What did you enjoy most in Middle School? Or share a positive memory you have from that age.
What was hardest, or most frustrating for you during Middle School? (It can be from school specifically, or life in general during that age.)
If you could spend a day doing anything, what would you do?
Thank you!!!! Please email Kate at becker_k@4j.lane.edu if you have any questions.
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