Mentor Application Mentee Application Name * First Name Last Name Email * Phone (###) ### #### Gender Male Female Other Age * Ethnicity * What is your highest level of education? * High School Diploma Associates Bachelors Masters Doctorate Describe any relevant leadership positions that you have held. * Describe your professional accomplishments. * Describe your level of community involvement or service. * How would you define mentorship in your own words? * What are your hobbies/interests? * Would you be interested in sharing your expertise by leading or participating in a seminar or workshop, given your experience and skills in your field? * Yes Maybe No Are you dedicated to allocating 2 hours/month to Project Rise? Yes No Would you prefer to mentor high school aged students or college/university students? Note: While we will try our best, this does not guarantee that you will match within your preferred age range. High School Aged College/University Please note that to become a mentor for minors (under 18), you will be required to complete mandated reporter training, fingerprinting, and a background check. Agree Disagree Thank you! Name * First Name Last Name Email * Phone (###) ### #### Gender Male Female Other Age * Ethnicity * Level of Education * 9th grade 10th grade 11th grade 12th grade 1st yr. college/university 2nd yr. college/university 3rd yr. college/university 4th yr. college/university Other What are your hobbies/interests? * What would you like guidance on? * What areas do you want to improve in? * Describe your career/professional goals. * What are you looking for? * Improving Academic Skills Networking Leadership Experience Soft Skills Community Career Help Other Are you dedicated to allocating 2-3 hours per month to Project Rise? * Yes No Thank you! We will be in touch.
