Mentee Application | NorthStar Mentors

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First name*

Last name*

Email*

Phone

Age*

Month

Day

Year

Parent/Guardian full name and phone number*

What are your interests?*

What careers or fields are you curious about?*

What is one goal you’d like to work on during this mentoring program?*

Is there anything you’d like your mentor to know about you?

Preferred meeting times:*

Weekday afternoons

Weekday evenings

Weekends

I understand that mentors are volunteers who provide guidance and support, not tutoring or counseling.

“I give permission for my child to participate in the mentoring program.”

How did you hear about this program?*

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