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2023- 2024 School Year T3 Mentee Interest Form
If you are interested in taking part in Triple Threat Mentoring during the 2023-2024 school year please fill out the form below. Please note this is only for girls entering 9th to 12th grade in the 2023-2024 school year.
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* Indicates required question
Your Name (Applicant desiring mentorship)
*
Your answer
Address
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Parent/Guardian's Name
Your answer
Parent/Guardian Phone Number
*
Your answer
Parent email
*
Your answer
Name of School attending in September 2023
*
Your answer
Grade Level for 2023-2024 School Year
At this time we are accepting applications from girls entering 6th to 12th grade next school year.
*
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Are you on an IEP or 504?
*
IEP
504
Both
N/A
Your Ethnicity- Check all that apply*
*
American Indian or Alaska Native
Asian
African American or Black
Hispanic
Pacific Islander or Native Hawaiian
Native African
White
Other:
Required
Our Priority Populations - Check all that apply
*
Girl of Color
Foster Care
Houseless (includes couch surfing)
Not living with your parents (i.e. grandparents, aunts, older sibling, etc.)
Athlete
Other:
Required
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