* 1. Please provide the following:

* 2. Please answer the following:

3. Please provide the following information:

4. Would you like to be a mentor, a mentee, or both?

5. If you want to be a mentor, what sorts of advice could you offer a mentee? (select as many options as you want)

6. If you want to be a mentee, do you have any preferences about the sorts of advice you would like from a mentor? (select as many options as you want)

7. What are your areas of interest within computer science (it’s ok if you don’t know yet!)?

8. Please tell us a little bit about yourself so we can help make a better mentee/mentor match. Where have you lived, what do you like to do outside of school, etc.