Request edit access
Project GRAD iMentor Program Application - Student Profile
Please complete the following information to help us match you to a mentor. Your mentor will offer you support to guide you through your first year in college, develop critical life skills, build a professional network, and much more.
First Name *
Your answer
Middle Name/Initial *
Your answer
Last Name *
Your answer
Home Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Cell Phone *
Your answer
Email Address: (One that you actually check): *
Your answer
Do you have access to a computer with internet connection?
Do you send and/or receive text messages? *
Gender *
Racial/Ethnic Group
What college will you be attending? *
Your answer
Degree/Major *
Your answer
Academic Standing (Freshman, Sophomore, etc.) *
Your answer
What is your dream job or career? *
Your answer
What are your favorite hobbies and/interests? *
Your answer
THANK YOU!
If you have any questions contact Ramiro Fonseca at (832) 325-0350 or email imentor@projectgradhouston.org.
Submit
Never submit passwords through Google Forms.
This form was created inside of Project GRAD Houston. Report Abuse - Terms of Service