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Mentor Interest Form: WIC College Prep Program
This form is intended for individuals interested in becoming a mentor to the WIC College Prep Program students (grades 9th-12th). If you have any questions, please contact Br. Abdulhai at 732-208-9473.
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* Indicates required question
Email
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Your email
Email
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Your answer
Mentor's full name [First and Last]
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Your answer
Mentor's phone number
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Your answer
Are you currently a student? If yes, please state the major you are pursuing, the university you attend and the month and year of graduation. If no, please answer the next question:
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Your answer
If you've already graduated, please state where you graduated from, what was your major and the year you graduated:
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Your answer
For both graduated and current students: Please state what colleges/universities you were accepted into?
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Your answer
If you are currently employed, please state the following: 1. The name of the organization or company you are currently working with. 2. How long have you been working with them? 3. What is your job title?
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Your answer
Are you pursing higher education at this time (post graduation) such as Masters, PhD, medical or law school? If yes, please state what it is:
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Your answer
Please check off areas that you can mentor student(s) with (Select all that apply):
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General SAT
ACT
AP Exams
College Essay Writing - Revise and Provide Feedback
Scholarship(s) and Financial Aid Process
Resume/LinkedIn Profile
Extracurricular Activities (answer follow up question)
Community Service(s) (answer follow up question)
Sports (answer follow up question)
Other:
Required
Can you provide any guidance in the following fields (Select all that apply):
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Pre-Med/Medical school
Pharmacy School
Nursing/PA School
Computer Science
Mechanical, Electrical or Other Engineering
Journalism
Law School
Finance/Banking/Business
Other:
Required
Which AP Exam preparation can you assist with (Select all that apply):
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AP Chemistry
AP Biology
AP Statistics
AP Microeconomics
AP Macroeconomics
AP English
AP Physics
AP Calculus
AP Computer Science
AP US History
Other:
Required
Which AP Exam(s) did you score 4 or higher in (Select all that apply)?
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AP Chemistry
AP Biology
AP Statistics
AP Microeconomics
AP Macroeconomics
AP English
AP Physics
AP Calculus
AP Computer Science
AP US History
I have not taken any AP Exams
Other:
Required
What extracurricular activities can you guide the student(s) with (Select all that apply):
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The Arts
Speech/Debate Team
Robotics
Literature Club
Academic Triathlon
Local/National Youth Groups
Internships
Other:
Required
From your experiences, what community services can you get the student(s) involved with (i.e. job shadowing, relief work, local organizations, etc...). Please provide name of the organization.
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Your answer
If you selected 'Sports' above, please state the sport that you can offer guidance with (i.e. Basketball, Baseball, Soccer, Softball, Tennis, etc...)
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Your answer
Availability: Please select all that apply:
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July 2021
August 2021
September 2021
Other:
Required
Preferred Communication (once paired with a student), select all that applies:
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Zoom/GoogleMeet/Teams
In-Person
Phone call
Required
Optional: At this time would you like to provide financial assistance towards this program for high school students? If yes, please state the amount. These funds will be used to purchase books, prep material, pay for exam and application fees.
Your answer
If you have any questions about the program and/or commitment, state those here:
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Your answer
Please write a short paragraph on how you will be able to contribute towards the success of the high school student(s). Feel free to incorporate your career journey, or your current educational pathway. *Not to exceed 400 words.*
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Your answer
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