Mentee Application
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Mentoring for Success - Mentee Application

 
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This is an electronic version of the Mentee Application for the Mentoring for Success program at Roxbury Community College. Please complete the application and fully answer all of the following questions as best you can. Any missing information could delay your application process.

The electronic application consists of 3 pages and you must complete the application in one sitting - if you exit the survey before you complete it, all progress will be lost and you will have to start over next time.

Thanks for your interest in being a Mentee with our program!
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1. Personal Information:
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2. Do you prefer to be contacted by email or phone? If no preference, please select both.
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3. Please enter your date of birth:
MonthDayYear
Birthday:
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4. Gender:
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5. Are you a first-generation college student?
(Neither of your parents have a higher education degree)
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6. Are you a current resident of Roxbury?
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7. Are you a graduate of one of the Boston Public Schools?
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8. Why are you interested in participating in the Mentoring for Success program as a Mentee?
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9. Are you able to meet with a mentor on a regular basis for a minimum of 1-hour/week?
Please note any particular scheduling difficulties (job, classes, and/or any other responsibilities)
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10. Please list days and times you would be available for an in-person interview below (Please allow approximately 20-25 minutes for the interview meeting):
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11. Are you able to attend an initial 1.5 hour Mentee Orientation session prior to being matched? (Please note any comments, if necessary)