Student Match Application
This application will take about 20 minutes to complete
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First Name and Last Name *
Do you have a nickname? If so, what is it? *
Home address *
City *
Zip Code *
Do you have a cell phone? *
What is your cell number? ( please include the area code) *
Do you access to WiFi at home? *
Your personal email ( please DO NOT use your school email) *
Please indicate all of your social media handles? Facebook, Twitter, TikTok, etc *
If you were to communicate with your mentor, what apps would you like to use? Please specify. ( Google Meets, Zoom, WhatsApp, FaceTime, etc) *
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