Mentee Application - The GIRLS Group

Your Name *

First

Last

Parent/Guardian Name *

First

Last

Relationship to Youth? *

Mother
Father
Other

Address *

Home Phone number *

Cell Phone number *

Email *

Email

Confirm Email

T-Shirt Size *

How did you hear about us? *

How old are you? *

What grade are you in? *

What school do you attend? *

What are your personal and educational goals? *

What special skills or interests do you have? *

Describe your performance in school, including grades, attendance, homework, etc. *

Who do you most admire and why? *

If you could learn something new, what would it be? *

What are your favorite subjects in school? *

What is your Grade Point Average (GPA)? *

Why do you want to participate in the GIRLS Group program? *

By clicking "Send" you (Mentee) are agreeing to participate for the duration of the entire 6 month cycle of The GIRLS Group Mentoring Program. In support of this individual in the program, I (Parent/Guardian), am agreeing to allow her (Mentee) to attend all mandatory program activities, including workshop sessions, orientations, community service field trip, and functions associated with The GIRLS Group Mentoring Program.

Mentee Application Form

Please provide thoughtful answers to each of the following questions. Your thorough responses will help us understand your goals and expectations. This application is confidential. It will only be shared with individuals involved in the selection process.

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