The GAPS mission is to connect alumni with students to promote successful academic, career, and life outcomes. We are making this mission real by providing alumni-led programs such as mentoring, after-school Pathway Clubs, Career Days, Entrepreneurship Program, Man Boy Breakfast, Man Boy Leadership Institute, and Girls Ignited. GAPS' Lead Partner Organization provides a coordinated process for alumni groups interested in providing services and activities geared toward benefiting West Side Leadership Academy. Visit www.gapsgary.org for more information on GAPS or contact Tyrone Spann (Program Director) at 219-886-6400 ext. 28910 or info@gapsgary.org. Please take a few minutes to complete this form and a GAPS team member will contact you soon to discuss next steps. Welcome aboard!

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* 1. First Name

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* 2. Middle Initial or Maiden Name, if applicable

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* 3. Last Name

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* 4. West Side Alumnus/a?

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* 5. Other high school, if not West Side:

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* 6. Graduation year:

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* 7. Email:

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* 8. Preferred Phone Number

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* 9. What social media do you use? (Check all that apply)

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* 10. Do you live in close proximity to Gary?

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* 11. What do you do now (career/job wise)?

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* 12. What are your career specializations and areas of extensive experience? (Please enter multiple answers in Other.)

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* 13. Briefly describe any other interests that you have specialization or experience in, e.g., chess, stock market, martial arts, ROTC, etc. These may be the basis for establishing or assisting with school clubs as a mentor.

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* 14. Have you ever been a youth mentor?

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* 15. If yes, please indicate type of mentoring experience(s) you've had.

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* 16. What would be the ideal timing of your involvement at West Side? Check all that apply:

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* 17. Approximately how many hours per month would you be available for involvement?

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* 18. Which of these involvements would you possibly be interested in?  Check all that apply:

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* 19. Are you able to self-fund the activities you would provide?

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* 20. Let us know name and phone and/or email of any other West Side Alums we should be in contact with re: GAPS.

Thanks for your interest. Before submitting, print for your records. For further information, contact Brigette McClain (219-201-0648), brigette.eventp@gmail.com.

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