Health Core Mentor Application
Please complete this form so we can learn more about you and follow up after the mixer.
Full Name
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Occupation & Company
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Email Address
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Phone Number (best for contacting you)
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Any other community & professional affiliations
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Why do you want to be a mentor?
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Have you ever been a mentor or a mentee? Or, have you ever had to form a professional relationship with a youth? If so, please tell us about it.
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Are you able to commit to at least 2 dinners with your mentee this summer? (Both dinners within a group setting)
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Do you have any experience with youth ages 17-24?
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Do you have any experience with youth who have experienced trauma?
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Do you have experience with talking about issues and problems relating to race and racism?
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How comfortable are you with talking to young people, one on one? (all answers are okay!)
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