GenCollab Mentee Application

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Thank you for your interest in becoming a GenCollab Mentee! We are excited to see what our organization can bring to you and cannot wait to work with you on developing your aspirations and passions.

**Please note that in the case your preferred areas of interest are not available, we will try our best in looking for a mentor, but we cannot guarantee that one will be found.

In the following responses, please elaborate to the best of your ability on your needs and preferences.

If you have any questions, please don't hesitate to reach out to us at: gencollaborative@gmail.com

Email *

Name *

Grade *

Phone Number (OPTIONAL)

Time Zone *

Eastern Standard Time

Central Daylight Time

Mountain Daylight Time

Pacific Daylight Time

Alaska Daylight Time

Hawaii-Aleutian Standard Time

Other:

What is your ethnicity/race? (OPTIONAL)

American Indian/Native Alaskan

Asian

Black or African American

Native Hawaiian or Pacific Islander

Hispanic or Latino

White

Other:

Is there an additional background/identity that you identify with? (OPTIONAL)

First Generation

Low Income

LGTBQ+

Immigrant

Undocumented/DACA/Mixed-status family

Other:

Do you need language accomodations? *

Yes

If you selected "Yes" in the previous question, please provide your native language and your English proficiency (Please provide a short explanation on your degree of proficiency). If you selected "No," write "N/A". *

Please list the extracurricular activities you'd like to be mentored in, in order of importance, and an elaboration in regards to your experience in each. We will try our best to pair you with a mentor that specializes in your top interest. *

What specific skills or experiences are you looking to develop in your areas of interest? *

What days and times will you be available each week? (i.e. Mondays - 3PM to 5PM, Tuesdays - 2PM - 4PM, etc.) Feel free to list any obligations you may have. *

OPTIONAL: Are there any preferences you are looking for in a tutor?

Any additional information you'd like us to know?

Submit

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