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GHS New Student Interest Form
We are so excited for you to join the Gladiator Nation. Please take a few minutes to complete our new student interest form. We'd like to learn a little bit more about you and your interests to help us match you to an upperclassman mentor with similar interests in order to enrich your high school experience.
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* Indicates required question
Student First Name
*
Your answer
Student Last name
*
Your answer
Gender:
*
Male
Female
Non Binary
I prefer not to identify, please contact me directly
Race/Ethnicity
*
American Indian/Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White/Caucasian
Hispanic or LatinX
Two or more races
I'd prefer not to answer
What languages do you speak besides English?
French
Hindi
Korean
Mandarin
Russian
Spanish
Urdu
None
Other:
If your native/primary language is something other than English, please provide that language below.
Your answer
Student Primary Email Address (Do not list Canvas email)
Your answer
Student Cell Phone Number (if student has personal cell phone)
Please enter ONLY the digits of your phone number ex. 4103339999
Your answer
Parent Name
*
Your answer
Parent Primary Phone Number
*
Please enter ONLY the digits of your phone number ex. 4103339999
Your answer
School Student is Currently Attending
Glenwood Middle
Folly Quarter Middle
Mount View Middle
Ellicott Mills Middle
Other:
Clear selection
Please indicate which statement best describes you preference when being matched to an upperclassmen mentor. The Gladiators on the Horizon program will do it's best to meet student preferences when possible.
*
I would prefer to be matched with a mentor of the same race.
I would prefer to be matched with a mentor with shared interests.
I have no preference in how I am matched with a mentor.
Rank your 1st choice interest area (it may be what you are currently participating in or would like to in high school).
*
Athletics
Visual/Performance Art (Band, Theatre, Dance, Choir, Color Guard, studio art, photography)
STEM
Service Organzations (Broadway Connections, Key Club, Scouts, Community Service)
Student Government/Scholastic Clubs
Rank your2nd choice interest area (it may be what you are currently participating in or would like to in high school).
*
Athletics
Visual/Performance Art (Band, Theatre, Dance, Choir, Color Guard, studio art, photography)
STEM
Service Organzations (Broadway Connections, Key Club, Scouts, Community Service)
Student Government/Scholastic Clubs
Rank your 3nd choice interest area (it may be what you are currently participating in or would like to in high school).
*
Athletics
Visual/Performance Art (Band, Theatre, Dance, Choir, Color Guard, studio art, photography)
STEM
Service Organzations (Broadway Connections, Key Club, Scouts, Community Service)
Student Government/Scholastic Clubs
Rank your 4th choice interest area (it may be what you are currently participating in or would like to in high school).
*
Athletics
Visual/Performance Art (Band, Theatre, Dance, Choir, Color Guard, studio art, photography)
STEM
Service Organzations (Broadway Connections, Key Club, Scouts, Community Service)
Student Government/Scholastic Clubs
Rank your 5th choice interest area (it may be what you are currently participating in or would like to in high school).
*
Athletics
Visual/Performance Art (Band, Theatre, Dance, Choir, Color Guard, studio art, photography)
STEM
Service Organzations (Broadway Connections, Key Club, Scouts, Community Service)
Student Government/Scholastic Clubs
The most important consideration for me when being matched with a student mentor is to be matched with someone who is:
*
the same gender identification.
the same race/cultural background.
interested in activities that are the same as or similar to those indicated above.
I don't have a preference how I am matched with a student mentor.
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