2023 Mentor Form
This form is for Junior Leaders and other tenured 4-H members to provide information that will help us assign them to their buddy(ies).

By signing up, you agree to reach out to your buddy regularly to chat and offer support as well as attend any buddy program events that are scheduled, TBD.

More info coming soon.
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Last Name *
First Name *
Already mentoring another 4-Her either informally or through Mini 4-H Showmanship? List their name(s) here:
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Are you a member of 4-H Junior Leaders? (You don't have to be to be a mentor, but let us know.)
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How many years have you been in 4-H? 2022 is your ___ year in 4-H.
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4-H Club
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Grade in School (2022-23 school year)
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For what projects are you willing to consider yourself a mentor? Please list projects and years in each project.
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What is the best way your buddy can reach you? (Check all that apply)
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Required
For the choice(s) selected in the previous question, please list your contact info here.
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What are your top 4-H accomplishment(s) that you are most proud of?
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Why do you want to be a mentor?
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