Mentor Application
A successful mentoring relationship is a commitment for both mentor and mentee. Successful mentorship requires consistent, active participation during meetings with your mentee and program events/workshops for the entire 6 month program.  
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Are you ready, able and willing to make this commitment?
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Name *
First and last name
Email *
Phone number *
Address *
How did you hear about the mentoring program?
Do you have children? If so, how many? What age(s)? *
Are you currently employed? If yes, where do you work and what is your current position/role? *
What is your highest level of completed education? *
Are you currently an enrolled student? *
If yes, where are you enrolled and what degree are you working toward? *
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