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Sikh Scholars Mentorship Program Mentee Form
Thank you for you interest in Seva4Everbody's Sikh Scholars Mentorship Program! This form is for those who are interested in being mentees (receiving mentorship) through the program. Please fill out this form and we will get back to you.
For more information please visit us at:
For any questions please contact:
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* Indicates required question
Name:
*
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
Phone Number:
*
Your answer
Email Address:
*
Your answer
Preferred Method of Communication:
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Email
Phone
Home City:
*
Your answer
Gender:
*
Female
Male
Gender Preference for Mentor:
*
Female
Male
No Preference
Grade Level (that you will be entering):
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7
8
9
10
11
12
Name of School:
*
Your answer
Interests/ Hobbies:
*
Your answer
Career Interests (If any):
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Your answer
Are you committed to meeting your mentor in person at least once every three months?
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Yes
No
What are you hoping to gain through this mentorship program? Select as many that apply:
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Admittance into a 4 year college
College selection guidance
Admissions test guidance (SAT / ACT)
College application assistance
Help with fitting in or bullying at school
Friend to talk to
Extracurricular opportunities (sports, volunteering, leadership opportunities)
Other:
Required
What are your future goals? (This may include test scores, college choice, career choice, short term goals, etc.):
*
Your answer
Once again we Thank You for filling in this form and will get back to you with more information!
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