KAAMP 2016 Mentee Application
Overview

The Khmer Alumni Association Mentorship Program (KAAMP) pairs up a mentee with a mentor from January to June 2016. Throughout this relationship, mentoring will be provided via online at least once a month to discuss any questions, comments, or concerns regarding academics, career choices, or any life decisions.


Purpose

The purpose of KAA ‘s Mentorship Program (KAAMP) is to provide one-on-one guidance and support for students in the Cambodian American community. By doing so, KAA aims to promote enriching knowledge, professional development, experience and relationships that will help empower Cambodian students to succeed in their academic/career success, individual goals and lives thereafter.


Mentors and Mentees

Mentors are members of the Khmer Alumni Association (KAA) who have filled out an application. After completing the application, the committee leads will notify mentors and have them go through a training session. Mentees are students who have filled out an application, which includes a parent/guardian consent form (if under 18). Upon submitting the application, a screening process will take place and a selected group of mentees will be invited to attend orientation. Afterwards, the committee leads will notify mentees and mentors of their pairing beginning mid-January.


Any student may apply for a mentor if you:

Are a student in high school or college
Of Cambodian heritage (at least 1 parent must be of Cambodian descent)
Can attend the orientation (approximately 2 hours) to meet your mentor in January (Sunday, 17th or 24th)


If there any comments, questions, or concerns, please e-mail Daro or Johnny at KhmerAlumni@gmail.com.

First Name *
Your answer
Last Name *
Your answer
Gender *
Required
Age *
Your answer
Address *
Street, City/Town, Zip Code
Your answer
Primary Phone Number *
Your answer
E-Mail *
Your answer
Parent/Guardian Name
If under 18 years old
Your answer
Parent/Guardian Relationship
Your answer
What additional language(s) do you speak? *
Your answer
School Name *
Your answer
Grade Level *
Your answer
Favorite Subject(s) *
Your answer
What activities, sports, clubs, etc. are you involved in? *
Your answer
I would describe myself as... *
Please choose three
Required
List a few jobs/professions you've been thinking about for yourself. *
Your answer
What goals do you have for yourself? *
(Academic, career or personal)
Your answer
Have you ever had a mentor? *
If you answered "Yes" to the question above, please describe your experience(s).
Your answer
Please tell us what you hope to gain from this mentorship program. *
For example: build new relationships, learn what to expect in college, how to do better in school, explore new careers, gain new career/college goals
Your answer
What do you look for in a mentor? *
Your answer
What do you like to do the most in your free time? *
(Check all that apply and give examples of your favorites)
Required
Please introduce yourself to your mentor by writing a little bit about yourself. You can start by telling them your name, how old you are, where you live and what you expect to gain from this experience. Also let them know what your plans are after high school, what college or university you’d like to attend and why, as well as how you plan to prepare yourself to meet your goal. We will share this information with your mentor. *
Your answer
Which day will you be available to attend Orientation? *
(Please choose one date -- If neither work, please e-mail and let us know.)
Required
How did you learn about KAA Mentorship Program? *
For example: friends, social media, website, event
Your answer
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