Table Wisdom Mentee Registration
Table Wisdom's mission is to help newer and older Americans thrive anywhere by having valuable conversations.
For further information, please visit us at
http://www.table-wisdom.org/
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* Required
Email
*
Your email
Please provide your first name
*
Your answer
Please provide your last name
*
Your answer
Best email address to reach you?
*
Your answer
Best phone number to text you (555-555-5555)?
*
Your answer
City
Your answer
State or Country Location (if not in the U.S.)
Your answer
Country of Origin
*
Your answer
Gender
*
Female
Male
Transgender
Other:
How did you hear about us?
*
Choose
University or College
Adult ESL Program
Church
Friend or Relative
Other
If other, then please provide detail
Your answer
I'm currently in
*
Choose
College
Graduate school
Not in school
High School
Middle School
Age Range:
*
Choose
(18 - 29)
(30 - 39)
(40 - 49)
(50 - 59)
(60 - 69)
(70 - 79)
(80+)
Under 18
What is your area of study or background?
*
Business
Education / Teaching
Engineering
Law
Math
Medicine
Science
Technology
Other:
Required
What's your Linkedin, Angel List, or Website Profile?
This will help us better understand your background. For example:
https://www.linkedin.com/in/williamhgates/
Your answer
What are your goals?
*
Be as specific as possible so your mentor can help you better
Improve Conversational English Language skills (For example: Idioms, slang, etc)
Improve Business English skills
Learn American culture
Learn Career Exploration
Other:
Required
Your hobbies/interests:
*
Please share any information that might be of interest to your mentor (i.e. activities, experiences, projects)
Your answer
Can you meet by video-chat (for example Skype, FaceTime)?
*
Some mentors prefer to meet by video conference because of their busy schedule. If you meet in-person, we require that you meet in public. But do NOT meet in-person during the COVID-19 crisis.
Choose
Yes
No
Program Choice
Choose
I'm a student ($10 per month for 6 months to match with ONE American professional mentor)
I'm a professional ($15 per month for 6 months match with ONE American professional mentor)
How many mentors would you like to chat with?
*
Choose
1
2
Comments & Questions
Your answer
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