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Be (A)Part Sign-Up & Interest Form
Directions: Fill out this form if you'd like somebody to contact you about BAP programs, including mentoring, volunteering, internships, and partnerships. This form will take about 2-3 minutes to complete.
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* Indicates required question
What's your name?
*
Your answer
What options best describe you? Select all that apply.
*
High School Student
College Student
Recent College Graduate
Graduate Student
Mid Career Professional
Late Career Professional
Early Career Professional
Retiree
Parent or Guardian
Teacher or Professor
School Leader
Nonprofit Leader
Community Leader
Activist
Elected Official
Medical Professional
Scientist
Business Leader
Researcher
Press
Funder or Foundation
Other:
Required
What BAP programs or opportunities are you interested in learning more about? Select all that apply.
*
Mentoring a high school student
Mentoring a college student or recent graduate
Getting a mentor of my own
In-person or remote volunteering
High school internships
College internships
Paid internships
Earning volunteer service hours
School partnerships
High school partnerships
Becoming an advisor or board member
Hosting a fundraiser for BAP
Other:
Required
What's the best way to contact you?
*
Email
Phone Call
Text
Other:
What's your email?
*
Your answer
What's your phone number?
Your answer
Do you live or go to school in Connecticut?
*
Yes
No
Other:
Is there anything else you'd like to let us know before we contact you?
Your answer
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