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Mentee Interest Form
Thank you for your interest in Centro Sol's Mentoring Program. In order to get to know more about you and your availability, please fill out the form below.
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* Indicates required question
Email
*
Your email
Phone Number
*
Your answer
What is your name?
*
Your answer
What school do you attend? Include grade level too
*
Your answer
What are your academic interests/career goals?
*
Your answer
What do you hope to get from this program?
*
Your answer
Can you make it to our Kick-Off Orientation? Thursday, October 3rd, 2019 at 5:00 PM at the Southeast Anchor Library
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Yes
No
Maybe, the program coordinator will need to check in with my parent/guardian
When are you available to meet, once a week?
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Please select all that apply.
Yes
No
Monday (5:00 - 6:30 PM)
Tuesday (5:00 - 6:30 PM)
Wednesday (5:00 - 6:30 PM)
Thursday (5:00 - 6:30 PM)
Saturday (12:00 - 1:30 PM)
Yes
No
Monday (5:00 - 6:30 PM)
Tuesday (5:00 - 6:30 PM)
Wednesday (5:00 - 6:30 PM)
Thursday (5:00 - 6:30 PM)
Saturday (12:00 - 1:30 PM)
Allergies or dietary restrictions?
*
Vegetarian
Vegan
Kosher
Halal
None
Any other comments and/or questions?
Your answer
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