MHS Mentor Application
This application is for the Meade High School Alumni who wish to aid in the project of a Career Academy. We would like to get as many of you that are willing to become mentors for our future graduates. This could include anything from in-person contact, email, job shadowing, social media, etc. We value your insight to help our future graduates!
Email address *
First Name
Your answer
Maiden Name
Your answer
Last Name
Your answer
Gender
Meade High School Class Year
Your answer
MHS Extra Curricular Activities
Home Phone Number
Your answer
Mobile Phone Number
Your answer
Physical Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Profession - Specialty - Titles - Duties- Advanced Degrees - Certifications- Professional Licenses
Your answer
In addition to your work, what else makes your life meaningful? eg. family, religion, volunteering, sports, music, etc.
Your answer
Availability to Mentor
Mentor Preference
Referral to Local Professional Counterpart: (Assistance in connecting student with another professional colleague in the Meade, KS region)
Estimated Time Commitment to Mentoring
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Meade Public Schools USD 226. Report Abuse - Terms of Service