Mentorship Inquiry Form
Please complete this form if you would like to be considered for a mentor role to one or more of the Griffin Scholars.
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First Name *
Last Name *
Email Address *
Age *
City *
State
Country *

What is your current occupation? If you are a student, please specify the university where you are studying. If you are employed, please specify your employer and title. 

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What is the highest level of education you have achieved and in what field of study?

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Are you able to dedicate 2-3 hours per month to mentoring?

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Why are you interested in becoming a mentor? 

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Do you have any previous mentorship experience?

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How did you learn about the Ukraine Math and Science Achievement Fund?

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Please add anything else you would like us to know.  

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