GroHuddle High School Mentor Application

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Application to participate in school-based mentoring in your district.

First & Last Name *

Home Address (include, city, state, and zip) *

Guardian Phone *

Student Phone *

List your current high school building *

Grade level *

Grade 11

Grade 12

Other:

Date of Birth *

YYYY

List your schedule below for periods 4, 5A, 5B, and 6. *

OHuddle Values

The above values embodies OHuddle. Choose two values above and describe how you demonstrate the value(s) in your life with examples.

Describe experiences you have had working or volunteering with young children.

Why do you want to participate in GROHuddle?

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