________MENTEE INTEREST FORM_______

Imara Roose Inc. is a holistic, inclusive, and transformative mentoring program that assists high school girls with actualizing and maximizing their greatness—personally, academically, and professionally—by empowering them with the knowledge, skills, and social capital necessary to break through systemic barriers to equitable access and opportunity.

Imara Roose mentees are girls (9th-12th grade) who attend Eleanor Roosevelt High School (ERHS) in Greenbelt, MD. These individuals seek motivation, inspiration, and support that has the power to change their trajectory.

Weekly meetings take place at ERHS Mondays and Thursdays 3:30PM-4:45PM. Monday meetings (i.e., Mentor Mondays) are mandatory for all mentees (i.e., 9th-12th grade) and Thursday meetings (i.e., College & Career Readiness) are only mandatory for 10th-12th grade mentees, BUT all mentees are encouraged to attend. Monthly events (i.e., community services, fundraisers, socials, etc.) generally take place on Saturdays/Sundays. Additionally, mentors meet with their mentee one-on-one at least once per month.

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Not ready to complete the full application? Complete the interest form below.

Ready to complete the full application? Click here: https://forms.gle/jU4GKDiEjEnTvthS9

For more information, visit www.ImaraRoose.org or email Contact.ImaraRoose@gmail.com with “Mentee” in the subject line.

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FIRST NAME *
LAST NAME *
PREFERRED NAME
CONTACT INFORMATION
CELL PHONE *
(xxx-xxx-xxxx)
EMAIL ADDRESS *
GMAIL ADDRESS PREFERRED
HOME ADDRESS *
STREET, CITY, STATE, ZIP CODE
DEMOGRAPHICS
BIRTHDAY *
MONTH/DAY/YEAR
HOMETOWN *
RACE/ETHNICITY *
IF YOU SELECTED AN OPTION THAT INDICATES "SPECIFY" PLEASE DETAIL YOUR ANSWER BELOW:
ACADEMIC
HIGH SCHOOL *
DO YOU ATTEND ELEANOR ROOSEVELT HIGH SCHOOL IN GREENBELT, MD?
GRAD YEAR *
VIRTUAL PROGRAMMING
If PGCPS remains virtual in the 2020-21 school year, Imara Roose will launch programming virtually! Please answer the questions below so we can plan accordingly and ensure you have the resources to participate.
INTERNET *
Do you have access to high speed internet in your home?
COMPUTER *
Do you have access to a personal computer in your home?
SMART PHONE *
Do you have access to a personal smartphone?
OTHER
HOW’D YOU HEAR ABOUT IMARA ROOSE? *
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