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Summer 2022 Internship Mentor Interest Form
Thank you for showing interest in mentoring for our Hack for LA's high school/college internship program.

Please fill out the form below to be considered as a mentor for a high school/college student who is entering the world of tech.

The answers to the questions below will be kept confidential and are asked to try to make the best match between you and our interns.

Details about the internship and requirements can be found here: https://github.com/hackforla/internship/wiki/Mentors-2022-Summer-Cohort
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Email *
We anticipate that you will need to dedicate up to 2.5 hours a week for workshops and 1:1 mentoring and onboarding (2 hours) / offboarding (2 hours) Do you have the availability?
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Which of the following times are you available? (check all that apply) *
Not Available
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
First Name *
Last Name *
Time Zone *
Phone Number *
LinkedIn Profile (if you are philosophically opposed to LinkedIn, this mentorship is not a good fit or you). *
Slack Handle (if you are on the Hack for LA slack)
What is your current occupation? (we are currently only looking for these two roles) *
Scholastic History (Check all that apply) *
Required
If you attended college in the US, are you a first generation American college student? *
If you attended college, how prepared did you feel for college during your senior year in high school?
Have you been a Hack for LA volunteer?  If yes, please provide the details of your role at Hack for LA?(Role/Project/Duration)
Do you have any experience being an intern?  If yes, please tell us about it
Have you been a mentor before?  If yes, please tell us about it *
Why are you interested in mentoring? *
What are your pronouns?
Are there any other aspects of your identity you want to share?
Do you have any questions for us that are not covered in the wiki?
If we are not able to match you with an intern for this cohort, would you like us to save your information and contact you for other Hack for LA mentorship opportunities? (You will get a response from us via email by June, 19th, 2022 for the current cohort)
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A copy of your responses will be emailed to the address you provided.
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