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.
Student Information
Legal First Name *
Legal Last Name *
Other Preferred Name
Date of Birth *
Gender *
Race *
Ethnicity *
What is your estimated household income? *
What is your household size? *
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
Contact Information
Home Address *
Preferred Email *
Phone Number *
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: www.facebook.com/heymentor) *
How did you hear about Hey Mentor? *
If you were referred to Hey Mentor by a student or volunteer please list their name here.
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