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Project TEAM (Teen Education And Mentorship)
Thank you for your interest in Project TEAM!
Project TEAM was created by UCI Family Medicine doctors to teach and mentor you! We will be teaching you many different topics ranging from reproductive health, STIs/HIV, mental health, and other topics.
Please complete this form to help us match you with a mentor!
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First name
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Your answer
Last name
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Your answer
Email
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Your answer
Phone #
Your answer
What grade are you in?
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
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Why do you think you might be interested in a career in healthcare?
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Your answer
What part of healthcare are you interested in? (for example: doctor, nurse, physical therapy, psychologist, pharmacists, social worker, dentist, vet, etc.)
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Your answer
What sports do you play?
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Your answer
Which one describes you?
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Eldest child
Middle child
Youngest child
Only child
Do you have any pets? If so, what kind?
Your answer
What do you like to do for fun?
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Your answer
Will you be the first in your family to go to college?
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Yes
No, my parents went to college too
What is your favorite school subject?
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Your answer
What you do want from a mentor/in what ways can we best help you?
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Your answer
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