YWCA Shadow Day CAL Mentor Sign-Up Form 2019
Cal students, please fill out the application form below. Submissions DUE NO LATER THAN 10AM FRIDAY MARCH 29th Shadow Day is Wednesday, April 10th .
Email address *
Agreement to be a Shadow Day Mentor
MUST SELECT ALL BOXES acknowledging each statement. *
Required
Your Basic Information
LAST Name *
Your answer
First Name *
How you want it read on your nametag.
Your answer
E-Mail *
Your answer
Cell Phone *
Your answer
Tell Us About You
Gender *
Gender Pronouns
Your answer
What undergrad year are you? *
What is your age? *
Did you attend high school in the East Bay? *
If yes, please input school name in "Other" field
Please select the East Bay High School you attended.
Do you speak another language FLUENTLY? *
If yes, please select language in next section.
Select language(s) you speak FLUENTLY
Ethnicity/Ethnic Group *
Which ethnicity do you identify with most?
Required
Major or Intended Major *
Select the area in which your major best fits. If you are doubling or have a minor, please specify in the next section.
Required
What were your favorite subjects/classes in High School? Select only 3 *
Select the area in which your major best fits. If you are doubling or have a minor, please specify in the next section.
Required
About You and Your Shadow.
Have you been a Shadow Day mentor with this specific YWCA Shadow Day program previously? If yes, how many times? *
How many years have you previously participated in YWCA's Shadow Day?
EXCLUDING this year.
Do you have any restrictions or special interests you would like to request or share with your high school “shadow”? *
Please only select one.
I want to request my mentee have these specific interests or qualities.
Only complete this section if you REALLY feel you need a specific type of mentee. (e.g. If you have back-to-back, non-stop Computer Science classes Thursday and no variation, so it would be better to have shadow actually interested in computer science.)
Your answer
Would you prefer to have one or two shadows? *
Your Schedule on Wednesday, April 10th
Please complete this section carefully.
FIRST SHADOW ENCOUNTER / PICKING UP SHADOW AT YWCA: *
You will be assigned a specific arrival time to pick up your shadow at the YWCA. It may be as early as 8am or as late as 10am. Can you rearrange your schedule to have this ENTIRE time frame open? i.e. Skip class, wake up early, reschedule work shift, etc.
(If you're not free the entire timeframe 8-10am to pick-up your shadow, mark all that apply)
DROPPING OFF SHADOW AT END OF DAY: *
You will need to drop off your shadow at the YWCA at an assigned time, anytime between 2-3:30pm. Do you have flexibility in your schedule to drop off your shadow anytime during this time frame? Your drop-off time will depend on your shadow's high school departure time. Each high school leaves at a different time but will leave somewhere between 2 - 3:30 PM from the YWCA.
Any other scheduling information you'd like to provide.
Your answer
Almost Done.
I agree to be a mentor for Shadow Day on Wednesday, April 10th. If I am unable to participate, I will notify the YWCA right away. *
Type your full name
Your answer
How did you hear about Shadow Day?
Check all that apply.
Would you like to be involved in organizing next year's Shadow Day?
Any other comments you'd like us to know.
Your answer
Thank you and we'll see you Wednesday, April 10th!
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