Unity Scholars Mentorship Program (Mentee Application)

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Unity Scholars Mentorship Program (Mentee Application)

This year, we will only be able to take a certain number of individuals as this is our pilot year. We will make sure to reach out to those who receive a mentor by mid November. Please keep in mind, we still assist all individuals seeking help whether they become a mentee or not. Please email unityscholars@gmail.com if you have any issues or questions regarding the form.

Email *

Record my email address with my response

Name (first, last) *

Grade *

Freshmen

Sophomore

Junior

Senior

Current NYC High School *

Student OSIS # *

Race *

Hispanic or Latino

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Gender *

Male

Female

Non-Binary

Prefer not to say

Other:

What is your families yearly income? *

<$30,000

$30k-50k

$50k-100k

>$100k

How did you hear about us? *

A friend

Instagram or Social Media

Teacher or Guidance Counselor

Parent/Family member

Other:

Required

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