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S.U.M.M.A.
SYRACUSE UNIVERSITY MENTOR MENTEE ALLIANCE 2021-2022 APPLICATION
Due date: Thursday, October 7th
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Email
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Your email
1. Last name and first name
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Your answer
2. Address
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Your answer
3. Cellphone
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Your answer
4. Email address
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Your answer
5. Parent/Guardian's Name
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Your answer
6. If you are not living with your mother or father, who is your guardian?
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Your answer
7. Number of siblings
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Your answer
8. Ages of siblings
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Your answer
9. Are you fluent in another language(s)? If yes, which languages?
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Your answer
10. My favorite kind of music is
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Your answer
11. My favorite TV show is
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Your answer
12. My favorite sport is
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Your answer
13. My favorite book is
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Your answer
14. My best subject in school is
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Your answer
15. My worst subject in school is
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Your answer
16. Do you have any after-school responsibilities? if YES, what are they?
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Your answer
17. What clubs or groups do you belong to?
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Your answer
18. What do you like to do most with your free time?
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Your answer
19. What do you and your friends like to do together?
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Your answer
20. What would you like to do after you get out of high school?
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Your answer
21. How confident are you that you have teh necessary skills to achieve your goals after graduation? (Check One)
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Very confident
Fairly confident
Not too confident
Not confident at all
22. Do you already have a specific plan of action for reaching your post-high school goals?
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Yes, I already have a specific plan
Yes, but I need help with some parts of my plan
No, I need help in developing a plan
No, I didn't realize I needed a plan
23. Are there any days and times when you are not available to meet with your mentor?
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Your answer
24. What qualities would you value in an adult?
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Your answer
25. Are there other issues of importance to you that you would like to share with your mentor?
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Your answer
26. Why are you interested in participating in this program?
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Your answer
27. What do you hope to get out of your mentoring relationship?
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Your answer
28. What career/s are you interested in?
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Your answer
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