HiTOPS PRIDE2PRIDE Mentee Application
PRIDE2PRIDE, an LGBTQ+ mentoring program through HiTops, is an opportunity to bridge eighth through twelfth grade youths with LGBTQ-identified professionals in the community. The program's core principles reflect affirmation, support, inclusion, and a safe space for the purposes of growth and self-exploration. This school year based program seeks to assist youth while they navigate social issues related to sexual orientation, gender identity, forming healthy relationships, and preparing to make career choices.

Meet ups for both volunteer mentors and youth mentees will take place 1x a month from October 2017-June 2018 at HiTOPS located in Princeton, NJ with initial meet and greet schedule in October. This is to encourage a sense of community within our program and it gives mentees and mentors the opportunity to get to know each other better. Mentors and mentees are also able to meet independently. Transportation assistance available for interested mentees upon need and request.

Acceptance letters for prospective PRIDE2PRIDE mentees and mentors will occur on a rolling basis until September 2017.

For more information please contact LGBTQ@hitops.org.

Legal Name:
Your answer
Preferred Name:
Your answer
What pronouns do you use? (i.e. she/hers, they/them, he/his)
Your answer
Home Address
(Street, City, State, Zip)
Your answer
School Currently Attending:
Your answer
Date Of Birth
MM
/
DD
/
YYYY
Home Phone Number:
Your answer
Cell/Work Number:
Your answer
Email Address
Your answer
How would you prefer to be contacted?
Emergency Contact Info:
Example: Name: Jane Doe Relationship: Mother/Father/Guardian Phone Number: (237) 555-5555 Email Address: (Person's Email Address)
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms