2019 College Mentor Program - Mentor Application
Thank you for your interest in serving as a mentor for Breakthrough San Juan Capistrano’s College Mentor Program. As part of our program, you will have the opportunity to help make a transformative difference in students’ lives, while simultaneously gaining professional experience transferable to a variety of endeavors beyond Breakthrough.

Our College Mentor Program follows our high school students from the second semester of their junior year until they begin their first semester at college. Mentors commit to attending monthly meetings, and providing additional support to their mentees as needed during the College Mentor Program cycle.

Name *
Your answer
Gender (When possible, we try to pair mentees with mentors of the same gender) *
Your answer
Street Address *
Your answer
City & Zip Code *
Your answer
Phone Number *
Your answer
Email *
Your answer
Highest Education Level *
Your answer
College Attended *
Your answer
Major *
Your answer
Profession *
Your answer
Affiliation/Employer *
Your answer
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