G.E.M.S Mentee 2018 Application
Thank you for demonstrating an interest in becoming a GEMS Mentee!  

Please complete all of the questions below to the best of your ability. After your submission, a member of the GEMS Team will contact you concerning the next steps of the application process within 3-5 business days.  
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Email *
1. Name *
2. Date of Birth *
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3. Home Address                                                      City                                                                                 State                                            Zip *
4. Phone Number                                                     *
6. Name of Parent(s) or Guardian *
7. Parent/Guardian's Contact Info *
8. School Attending *
9. Grade Level *
10. Why do you want to be a part of the GEMS mentoring program? *
11. Why would a mentor be someone you would benefit from? *
12. Have you thought about your education beyond high school?  If yes, what are your next steps? *
13. Do you currently work outside of school? If yes, please give employer's, name, address and phone number *
14. Days/Hours of employment:
15. Do you participate in extra-curricular activities?  If yes, please list them.   *
16. What extra activities do you enjoy in your spare time (music, reading, sports, art, cooking, etc.)? *
17. Can you make the time commitments below? Monday & Wednesdays (4-7p) + one additional weekday (4-7p)? *
18. If selected to be a part of this program, could you commit to participating in the program for one full school year? *
19.Is there anything additional you would like the G.E.M.S Team to know about you?  If so, write a brief summary below. *
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