Imani Black Academic Mentorship Program: Fall 2022 - Winter 2023 Mentor Registration Form

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

The 𝗜𝗺𝗮𝗻𝗶 𝗕𝗹𝗮𝗰𝗸 𝗔𝗰𝗮𝗱𝗲𝗺𝗶𝗰 𝗠𝗲𝗻𝘁𝗼𝗿𝘀𝗵𝗶𝗽 𝗣𝗿𝗼𝗴𝗿𝗮𝗺 is dedicated to supporting Black youth within the East Scarborough community. The focus of this program is to connect Black youth to opportunities which allow them to explore post-secondary education (university, college, and others).

We are currently recruiting for Imani Mentors for Fall 2022 and Winter 2023 semesters. Please read below brief details for or program.

𝗛𝗶𝗴𝗵 𝗦𝗰𝗵𝗼𝗼𝗹 - This year, mentorship will occur every 𝗧𝘂𝗲𝘀𝗱𝗮𝘆 from 𝟮:𝟬𝟬𝗽𝗺 - 𝟲:𝟬𝟬𝗽𝗺 starting 𝗢𝗰𝘁𝗼𝗯𝗲𝗿 18, 𝟮𝟬𝟮𝟮 and ending 𝗠𝗮𝗿𝗰𝗵 𝟮𝟴, 𝟮𝟬𝟮𝟯.

𝗠𝗶𝗱𝗱𝗹𝗲 𝗦𝗰𝗵𝗼𝗼𝗹 - This year mentorship will occur every 𝗪𝗲𝗱𝗻𝗲𝘀𝗱𝗮𝘆 from 𝟮:𝟬𝟬𝗽𝗺 - 𝟲:𝟬𝟬𝗽𝗺 starting 𝗢𝗰𝘁𝗼𝗯𝗲𝗿 19, 𝟮𝟬𝟮𝟮 and ending 𝗠𝗮𝗿𝗰𝗵 𝟮𝟵, 𝟮𝟬𝟮𝟯.

Mentors will receive CCR credits, access to Imani Needs Based Bursaries and an Honorarium for their contributions to the program.

If you have any questions or concerns about your application, please reach out to us at 𝙞𝙢𝙖𝙣𝙞.𝙪𝙩𝙨𝙘@𝙪𝙩𝙤𝙧𝙤𝙣𝙩𝙤.𝙘𝙖 or 𝙀𝙛𝙚.𝘾𝙝𝙚𝙝𝙤𝙧𝙚@𝙪𝙩𝙤𝙧𝙤𝙣𝙩𝙤.𝙘𝙖 with the subject line "Imani Mentor Application Question".

Thanks so much for your time and interest! We hope to make this experience valuable and greatly appreciate any feedback or suggestions you have.

Email *

Are you interested in becoming a Mentor this 𝐅𝐚𝐥𝐥 𝟐𝟎𝟐𝟮 𝐚𝐧𝐝 𝐖𝐢𝐧𝐭𝐞𝐫 𝟐𝟎𝟐𝟯? *

Yes, I am available for both Fall 2022 & Winter 2023 Semesters

Yes, Only for Fall 2022 Semester

Yes, Only for Winter 2023 Semester

No, Unfortunately I cannot be a part the team this Fall & Winter Semester

Do you identify as Black, (which includes but is not limited to African and/or Caribbean descent) or have lived experience as a Black person? *

Yes

Other:

Are there any other identity markers that you think would be helpful to know in pairing you with your Middle School or High School mentee? This information will be used only to aid in pairing you with your mentee and will be kept confidential. (Examples include: socio-economic background, mixed/blended family, ability, immigration status, etc) * *

Please provide a brief introduction about yourself. *

Why are you interested in being a mentor? *

Are you a new or returning Imani mentor? (Were you a part of the Imani Program before?) *

Returning Mentor

New Mentor

Other:

If you are a returning Mentor, what school were you previously at? *

St. Margaret's Public School - (St Maraget's)

Cedarbrae Collegiate Institute - (Cedarbrae)

Dr. Marion Hilliard Senior Public School - (Hillard)

Lester B. Pearson Collegiate Institute - (Pearson)

Military Trail Public School - (Military Trail)

St. John Paul II Catholic Secondary School - (Pope)

West Hill Collegiate Institute - (West Hill)

N/A

Other:

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