G.E.M.S Mentee 2019-2020 Application
Thank you for demonstrating an interest in becoming a GEMS Mentee!

Please complete all of the questions below to the best of your ability. After your submission, a member of the GEMS Team will contact you concerning the next steps of the application process within 3-5 business days.
Email address *
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
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DD
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Home Address (Street Address, City, State, Zip Code) *
Your answer
Phone Number *
Your answer
Name of Parent(s) or Guardian *
Your answer
Parent/Guardian's Phone Number *
Your answer
Current School *
Your answer
Grade Level *
Why do you want to be a part of the GEMS Mentoring Program? *
Your answer
Why/How would you benefit from having a mentor? *
Your answer
Have you thought about your education beyond high school? If yes, what are your next steps? *
Your answer
Do you currently work outside of school? If yes, please give employer's name, address, and phone number. *
Your answer
If you work outside of school, what is your weekly commitment to your employer?
Your answer
Do you participate in extra-curricular activities? If yes, please list them. *
Your answer
What extra activities do you enjoy in your spare time (music, reading, sports, art, cooking, etc.)? *
Your answer
Can you make the time commitments below? Mondays & Wednesdays (4-7 pm) + one additional weekday (4-7 pm)? *
If selected to be a part of this program, could you commit to participating in the program for one full school year? *
Is there anything additional you would like the G.E.M.S Team to know about you? If so, write a brief summary below. *
Your answer
What do you know about the GEMS Mentoring Program that influenced your decision to apply? *
Your answer
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