Student Mentor Training Program Application
Please fill out this form to apply for the student mentor training program. The student should fill this form out.
Email address *
Your full name *
Your current school *
Your grade *
Your parent's name (provide one parent/guardian's name here) *
Your parent's email *
Your parent's phone number *
Your address *
To be a mentor, one must be committed to putting in the work necessary to connect with and guide another person. List three qualities you have which will allow you to be a strong mentor. Briefly explain how you have developed these qualities. *
Are you available for both days of the mentor training? Click the dates and times below to agree. ** if there is no school on 4/9 and 4/10 for NYC DOE, then we will move times for training to 12-1 pm. *
We want to be sure you are comfortable with the technology we will use in the training. The course will be offered as a LIVE webinar on Zoom. You will need to enter a password in order to access the class. Short quizzes will be delivered to your email after the class via Google Forms. If you are not familiar with these technologies, I will send you a video on how to use them. If you still have questions, you can email me to set up a call - *
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