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R.E.A.C.H. Mentee Application
Relationships E.mpower and A.ffirm C.ommunity H.ealing
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Name of Student
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School
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Name of Person/Organization/Parent Referring Student
Your answer
Student Email
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Your answer
Student Phone Number
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Your answer
What do you hope to gain from having a mentor?
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Your answer
What qualities are you looking for in a mentor?
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Your answer
What challenges or goals would you like to address through this program?
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Your answer
How much time can you commit a month to meeting with your mentor and other REACH-1000 events?
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Is there anything else you'd like us to know about you or any additional support you'd like to receive from the program?
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If there was one trip, experience, activity you would like to do, what would it be?
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Questions/Comments
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