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Dreamers and Achievers Application
This form must be submitted to participate in the program for the 2022-2023 school year
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* Indicates required question
Email
*
Your email
Student Name (First, Last Name)
*
Your answer
Grade Level
*
6th
7th
8th
9th
10th
Did you participate in Dreamers or Achievers last year? If so, who was your mentor?
*
Your answer
Why do you wish to be a part of the Mentoring Program? What do you wish to gain from this program?
*
Your answer
Do agree to commit to the following requirements for the program?
*
Bi-weekly Progress Report
Adhere to your Mentor's support plan
Check in weekly with your Mentor
Attend all Dreamers or Achievers Events
Required
Parent Contact Information ( Name and Number)
*
Your answer
Parent email
*
Your answer
Student cell Number
*
Your answer
What other activities are you involved in at Drew?
*
Your answer
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