Student Mentor Request
21-22 HMS NJHS Mentor Program

The HMS NJHS Mentoring Program will address the personal, educational and social needs of middle school students through one-on-one caring relationships with NJHS volunteers. Mentoring pairs work together to develop and achieve specific goals throughout the school year.

The NJHS HMS mentoring program will provide youth with opportunities to develop strong relationships with caring peers. Ultimately, our mentoring program will aim to nurture youth who are confident, college and career-ready individuals who play an active role in their communities.

If you are interested and feel that you would benefit from this program, please submit an application below.
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Application being submitted by (enter name of person submitting request). This is to let us know if the student, parent, or teacher is requesting. *
Student First Name *
Student Last Name *
Grade Level *
I would be interested in being a mentor to students in what grades (check all that apply; it is not guaranteed that you will get your desired grade level mentee.) *
Some of the things I am struggling with as a middle school student: (if any)
I would like to be involved in this program because: *
Interests/Hobbies/Clubs (This will help us pair you up with a student who you fit well with.) *
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