Business Mentor Registration Form
We love to grow our business network. If your business or organization would like to make a difference in the lives of our youth, please leave your information and we will contact you. If you have any question or concern you may leave it in the comment box. Thank you.
Name of Business/Organization/Department
Your answer
Location/Street Address
Your answer
Name of Contact Person
Your answer
Email
Your answer
Phone number
Your answer
How many students are you willing to place in your organization ?
Your answer
Please tell us which job areas you will engage students?
This list is not exhaustive. You may add additional opportunities in the comments box
Required
Which hours are available for job/mentorship assignments?
Required
Please summarize special skills or qualifications (if any) you may require of students
Your answer
Comments
Your answer
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