S.U.M.M.A.
SYRACUSE UNIVERSITY MENTOR MENTEE ALLIANCE 2021-2022 APPLICATION
Due date:  Thursday, October 7th

Sign in to Google to save your progress. Learn more
Email *
1. Last name and first name *
2. Address *
3. Cellphone *
4. Email address *
5. Parent/Guardian's Name *
6. If you are not living with your mother or father, who is your guardian? *
7. Number of siblings *
8. Ages of siblings *
9. Are you fluent in another language(s)? If yes, which languages? *
10. My favorite kind of music is *
11. My favorite TV show is *
12. My favorite sport is *
13. My favorite book is *
14. My best subject in school is *
15. My worst subject in school is *
16. Do you have any after-school responsibilities? if YES, what are they? *
17. What clubs or groups do you belong to? *
18. What do you like to do most with your free time? *
19. What do you and your friends like to do together? *
20. What would you like to do after you get out of high school? *
21. How confident are you that you have teh necessary skills to achieve your goals after graduation? (Check One) *
22. Do you already have a specific plan of action for reaching your post-high school goals? *
23. Are there any days and times when you are not available to meet with your mentor? *
24. What qualities would you value in an adult? *
25. Are there other issues of importance to you that you would like to share with your mentor? *
26. Why are you interested in participating in this program? *
27. What do you hope to get out of your mentoring relationship? *
28.  What career/s are you interested in? *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of NYC Department of Education. Report Abuse