LYM Success Pilot Mentors & Role Models

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in supporting the success of Latino young men (LYM) in Oceanside. Please take a moment to complete this profile form so that we can best utilize your time, talent, and resources. If you have questions, contact Nicole Magnuson at 760-966-4067 or Nicole@OceansidePromise.org.

First Name *

Last Name *

Race / Ethnicity

Hispanic or Latino

American Indian or Alaska Native

Black or African-American

Native Hawaiian or Other Pacific Islander

Asian

White, not Hispanic or Latino

Multi-race

Prefer Not to State

Other:

Clear selection

Gender

Male

Female

Non-conforming

Prefer Not to State

Other:

Clear selection

Occupation

Company / Organization

Business Phone

Mobile Phone *

Primary Email *

Secondary Email

Life / Work Experience Profile

Peer Mentor (High School Age Student)

Young Professional (Ages 20-35)

Advanced Professional (Ages 35 - 55)

Seasoned Professional (Over age 55)

Involvement Interest (Check all that apply)

Mentorship

Workforce / Career Exposure (Experienceship)

Academic Tutoring

Host An Internship

Sponsor An Intern ($2,500 per intern)

Mentor / Role Model Recruitment

Workshop Delivery

Fundraising

Other:

Industry and/or Professional Experience (Check all that apply)

Business

Entrepreneurship

Government

Public Safety

Education

Nonprofit

Faith-based

Life Skills

Career Services

College Planning

Other:

What is your connection to Oceanside? (Check all that apply)

I work in Oceanside

I live in Oceanside

I grew up in Oceanside, but no longer live there

I just want to help

Other:

Why are you interested in LYM Success? (Personal story or motivation) *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms