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ScaleLA Foundation - 2019 Mentor2Mentor #Design4Minds Student Interest Form
Please fill out this brief interest form if you'd like to participate in the ScaleLA Foundation's upcoming Mentor2Mentor initiative, #Design4Minds. If you have any questions, please reach out to Executive Director - India Williams (india@scalela.com).
Email address *
First Name *
Your answer
Last Name *
Your answer
School *
Your answer
Grade Level *
How would you describe yourself? (please check all that apply)
How would you describe yourself? (please check all that apply)
How interested are you in participating in the upcoming #Design4Minds Design Challenge? *
Not interested
Very interested
How you do define "Mental Health"?
Your answer
How do you define "Mental Wellness"?
Your answer
Are you able to commit to a hack-a-thon on Saturday, November 9th from 10AM-5PM? *
Do you have access to a laptop that can be brought to the Nov. 9th hack-a-thon?
Are you available to attend a Final Pitch Showcase the evening of December 17th?
If you answered "No" or "Maybe," what might keep you from attending?
What training or experience do you have with technology? *
Required
How interested are you in working in a technology related career? *
Not that interested
Very interested
How much do you enjoy school currently? *
What activities do you participate in outside of school? *
Your answer
Has anyone in your immediate family (mother, father, sisters, brothers) attended college and graduated with a degree? If so, please list. *
Your answer
What are your plans following graduation? *
Your answer
What are some of the barriers that might affect your future plans?
Do you have a mentor now? *
If so, how are you connected? *
Required
How often do you meet with them? *
How has this person influenced your success in school and/or life? *
Your answer
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