MENTORSHIP Spring 2020 Application
Thank you for your interest in participating in our Mentorship Program as a mentee for Spring 2020!!!

Please fill out this basic information form so we can reach out to you in the new year about next steps.

We look forward to having you join our program in February 2020.
Please provide your chosen/preferred first and last name. *
What's your pronoun(s)? *
Are you between 18 to 24 years old?
Please provide the email address you check regularly. *
Phone number (Please provide the best number to reach you.)
What is your preferred contact method? (Text or email?)
What are the 2-3 goals you would like to get help with from your mentor and the program? *
What 1-3 qualities do you like to see in your mentor?(POC, an active listener, working in a specific field, etc.) *
Your Availabilities Tuesday - Friday *
10:30 am - 12:30 pm
2:30 pm - 5:00 pm
If you chose "Other" please enter time/date that potentially works for you. Thank you
Never submit passwords through Google Forms.
This form was created inside of LYRIC.