Summer Mentorship Program Application NameFirstLastDate of BirthPhone Number*Email address*AddressCollege/School NameGrade/YearWhy are you interested in the Summer Mentorship Program?*Please briefly explain why you want to participate in this program?Skills and Experience*Please describe any relevant skills, experiences, or activities you believe would make you a strong candidate for this program. (For example: leadership, communication, problem solving, etc.Career Goals*What are your long-term goals? How does this mentorship program fit into these goals?AvailabilityPlease indicate your availability for the Summer Program.Start Date / End Date / Available hours per week / any other scheduling notes.ReferencesPlease provide contact details for at least two references who can speak to your qualifications and suitability for this program.Name: Relationship to applicant: Phone Number: Email Address: Name: Relationship to applicant: Phone Number: Email Address:Additional CommentsPlease include any other information you would like the selection committee to know.Please type the characters*This helps us prevent spam, thank you.SendThis field should be left blank Follow us on social media
