Student Mentorship Application

General Information

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* 1. First and Last Name

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* 2. Mailing Address Information

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

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* 3. Email

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* 4. Phone Number

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* 5. School Name

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* 6. Interest areas of NJYSA?
(Please indicate any particular interest areas i.e events, recruiting, marketing, etc, if unsure please put N/A)

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* 7. Can you attend in-person experience with NJYSA?

Most likley

Likley

Not likley

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* 8. Please upload your resume.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.