Avanzando Scholar Mentor Match Form
First Name:
Your answer
Last Name:
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What is your email address? *
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What is your gender? *
Hometown: *
Your answer
What is the highest level of education that you completed? *
What was/is your major and minor? *
Your answer
Are you currently employed? *
If yes, where are you employed?
Your answer
What are your typical work hours?
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Check any of the words that you feel describe your personality: *
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Hobbies/Interests/Sports
How many scholars would you be willing to mentor?
Please share any life experiences you feel would be helpful to know in making a placement: *
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Please leave any additional information that you would like us to know in the space provided below: *
Your answer
Are there any personal characteristics you are uncomfortable working with? (Please be honest as this will help us make a successful placement): *
Your answer
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