SIGN UP SHEET for THE CITY MENTORS' EVENTSĀ 
Sign in to Google to save your progress. Learn more
What event(s) are you signing up for? *
Required
Email *
First Name *
Last Name *
Phone Number *
Note: We will use your number to text you a reminder about the event
Gender *
What is your age? *
What borough do you live in?
*
Are you...
*
Are you currently working?
*
School Affiliation
*
What programs/organizations are you affiliated with?

*
Check off all that apply
Required
How did you hear about this event?
*
Check off all that apply
Major *
Select all that apply
Required
Topics You'd Like Covered During the Event
*
Have you used the services provided by The City Tutors' City Mentors Program?
*
Check of all that apply
How likely are you to attend this event?

*
Unlikely, I might have stuff come up
Very likely, I have cleared my schedule for this event
Do you have anything at this time that would prevent you from attending? If yes, please specify
*
Are you of Hispanic, Latino or of Spanish origin?
*
Demographic and Race Information
How do you describe yourself?
*
Demographic and Race Information
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy