Refuge Interest Form - Mentees
We are so excited to see your interest in being part of this awesome program! Our program will partner you with a student mentor at Ohio State University who will help you develop a college plan, teach you more about American culture, show you how to budget your money, and help you apply for financial aid!

You will have the INCREDIBLE opportunity of visiting Ohio State University during the beginning and end of the program, giving you an all access pass to many departments at Ohio State and the opportunity to participate in many developmental experiences that will help you prepare for college.

We'd love to hear more about you! This interest form is meant to help us understand if this program is right for you! If you have any questions please email us at refugeohiostate@gmail.com or call us at 614-218-3570.

Please note that applicants MUST meet these requirements:
- Must be in high school (Grades 9-12) or a recent graduate interested in attending college
- Must have a refugee background OR immigrant background
- Must be willing to commit two-three hours weekly
- Must have access to internet and a phone throughout the week
- Must have interest in opportunities and options after high school
Sign in to Google to save your progress. Learn more
Email *
First and Last Name *
Age *
Grade
Clear selection
Gender *
Your Phone Number *
Parent's Phone Number *
Country of origin *
How long have you been in the US? *
How old were you when you came to the US? *
First Language *
Are you fluent in any other languages? If so, what are they?
What is the name of your high school? *
Are you planning to go to college? *
Do you have a close friend or family member who has gone to college? *
Are you currently enrolled in an ELL/ESL program at school? If yes, how long have you been in the program? *
What was your OELPA score?
What is the best way to contact you? *
Where do you have access to internet? (check all that apply) *
Required
Do you own any of the following devices? (Check all that apply) *
Required
If you have access to one of the above devices, how often do you have access to it? (do you share it with someone?)
What are you looking for most in your relationship with your Refuge mentor? Please write a response that is at least 75 words. *
If accepted to Refuge, what do you hope to learn from your mentor? Please write a response that is at least 75 words. *
Please complete this online personality test, and type your results below (Four letter Results): http://www.humanmetrics.com/cgi-win/jtypes2.asp (You will need to click the link and begin answering the questions to get your results) *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy