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Mentor Application
This mentor application is for any student or community members local to the Eugene/Springfield location looking to mentor Createathon Oregon participants. This application is due by November 15, 2019 at 12PM.
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* Indicates required question
Name (First, Last)
*
Your answer
Preferred Pronouns
*
(She, Her, Hers), (He, Him, His), (They, Them, Theirs), Other
Your answer
I am a:
*
College Student
Participant on behalf of an Agency
Community Member
Other:
Student ID#
REQUIRED for all students to participate.
Your answer
Shirt Size
*
XS
S
M
L
XL
XXL
Please list any dietary restrictions you have.
*
Your answer
Organization you represent
*
Students: University of Oregon, Lane Community College... Participant on behalf of Agency: Company Name... Community Member: "N/A" or "Other" if no affiliation.
Your answer
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