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2024- 2025 School Year T3 Mentee Interest Form
If you are interested in taking part in Triple Threat Mentoring during the 2024-2025 school year please fill out the form below. Please note this is for girls and boys entering 6th to 12th grade in the 2024-2025 school year.
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* Indicates required question
Your Name (Applicant desiring mentorship)
*
Your answer
Address
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Parent/Guardian's Name
Your answer
Parent/Guardian Phone Number
*
Your answer
Parent email
*
Your answer
Name of School attending in September 2024
*
Your answer
Grade Level for 2024-2025 School Year
At this time we are accepting applications from girls and boys entering 6th to 12th grade next school year.
*
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Are you on an IEP or 504?
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IEP
504
Both
N/A
Your Ethnicity- Check all that apply*
*
American Indian or Alaska Native
Asian
African American or Black
Hispanic
Pacific Islander or Native Hawaiian
Native African
White
Other:
Required
Our Priority Populations - Check all that apply
*
Girl or boy of Color
Foster Care
Houseless (includes couch surfing)
Not living with your parents (i.e. grandparents, aunts, older sibling, etc.)
Athlete
Other:
Required
What size shirt are you in, adult unisex?
*
XS
S
M
L
XL
XXL
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