Hey Mentor Student Application
Please note that this form should only be completed by students in grade 11 or 12. If you do not meet this requirement please close the application.
Legal First Name
Legal Last Name
Other Preferred Name
Date of Birth
Prefer not to say
American Indian/Alaskan Native
Hispanic/Latino of any races
Native Hawaiian/Other Pacific Islander
Two or More Races
What is your estimated household income?
$0 - $59,999
$60,000 - $99,999
What is your household size?
10 or more
PLEASE READ: What does Hey Mentor consider "Underserved"?
Low-income: household that earns $60,000 per year or less, students on free/reduced lunch, OR College Bound Scholarship students please check this box.
First-generation college students: Anything less than completion of a bachelor's degree by at least one parent equals first-generation college status.
Low-income and first generation students receive priority matching if the program reaches capacity.
Please mark all that apply
First Generation College Student (Neither of my parents have a 4-year college degree or higher)
Low-Income (on Free/Reduced-Lunch, household income under $60K, or a College Bound Student)
Single Parent Household
Why do we need to include our Facebook link?
Your link will be provided to your mentor so they can add you. Expect a friend request from "Kevin Truong", our staff member who will add you to our Facebook group page where you will find our latest announcements and resources. Don't have a Facebook? Please write "Email Only" and we will provide you with a non-Facebook mentor. However, please keep in mind that receiving mentoring on Facebook Messenger tends to give students more frequent and faster responses from mentors compared to communicating via email only.
Facebook URL (ex:
How did you hear about Hey Mentor?
Hey Mentor Event/Workshop
Hey Mentor Volunteers/Staff
Hey Mentor Website
If you were referred to Hey Mentor by a student or volunteer please list their name here.
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