JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SHIELD Mentor Preference Form
STUDENTS: Please fill in the questions below and we will match you up with a Mentor for next year!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
What elementary school do you currently attend?
*
Your answer
Language spoken and understood (other than English)
*
Your answer
My main interests are... (Check all that apply)
*
Hockey
Dance
Football
Soccer
Basketball
Volleyball
Art
Drama / Acting
Playing a musical instrument
Movies
Reading
Video Games
Computers
Robotics
Baking
Listening to music
Required
Other Interests not listed are...
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Halton Catholic District School Board.
Report Abuse
Forms
