CEO Mentor Application, 2017-18
Full Name
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Organization or company
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Organization or company address
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Email
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What is the best phone number to reach you?
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Can you arrange to be available from 4:30-6:00 PM on Tuesday or Thursday once every two weeks from January to June?
Do you have previous experiences working with youth? If so, please explain.
(Previous experience with youth is NOT required. We just like to know.)
Your answer
What are your current job responsibilities and day-to-day activities?
Your answer
In a few sentences, briefly describe the type of work an intern might do while completing their required 80-hour summer internship at your organization.
(Even if it is hard to be specific, any information about your work environment is helpful.)
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Do you have other relevant work experiences or skill sets that might be applicable as we consider our student-mentor pairings?
(For example, maybe you work in marketing for Whole Foods, but you used to be a chef.)
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Is there anything else you would like to add about yourself to help us match you with an intern?
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By checking the box below, I confirm that I have read and understood the CEO Program mentor responsibilities and I attest to the truthfulness of all information on this application.
Checking the box creates an electronic signature.
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