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Zena's House Coach Mentor Application 2022
Thanks for your interest in being a Coach Mentor. We are in partnership with Creekside High School for the OG mentoring program. Please complete the application and we will contact you with the next steps.
Thanks again for your interest! Find us on IG, FB, Twitter, YouTube, and Linked In.
www.zenashouse.org
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* Indicates required question
Email
*
Your email
Name (First and Last Name)
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Gender
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Female
Male
Home Address
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street, city, zip code
Your answer
Phone Number
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Your answer
Did you graduate from high school?
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Yes
No
Are you a Creekside High School graduate?
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Yes
No
Which track did you take after high school?
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College/University
Technical school/Trade
Military
Other:
What college/university did you attend? if you did not attend, enter NA
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Your answer
What was your major? (or NA)
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Your answer
Did you graduate college/university?
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Yes
No
Did you receive any scholarships?
Yes
No
Clear selection
If you were in the military, what branch did you serve?
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Air Force, Army, Coast Guard, Marines Corps, or Navy. If none, enter NA
Your answer
Do you have other degrees?
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Masters
Doctorate
NA
Other:
What is your current occupation/profession?
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Your answer
Name of employer
*
If not employed, enter not employed
Your answer
Have you served as a mentor before?
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Yes
No
If yes, please enter the organization's name.
*
if no, enter NA
Your answer
What was your primary role?
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if no, enter NA
Your answer
Do you have any experience working with high school students?
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Yes
No
If yes, please share in what capacity you worked with high school students.
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If none, enter NA
Your answer
What skills and or talents will you bring to help our students?
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Your answer
What one piece of advice would you give to high school students?
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Your answer
Reference 1 name
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Your answer
Reference 1 contact number and email address
*
Your answer
Reference 2 name
*
Your answer
Reference 2 contact number and email address
*
Your answer
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