Thank you for your interest in being matched with a mentor through JBBBSLA'S MAIN Coach Program!

The Make An Impact Now (MAIN) Coach Program matches motivated high school juniors and seniors for one year with a mentor who supports their goals and enhances their knowledge about college and careers.

In order to qualify for the program, you must:
* Be current 11th or 12th grade high school student.
* Have participated in one of JBBBSLA’s youth programs (College Guidance, Camp, Big/Little mentorship, or Teen Talk)
* Commit to working with your MAIN Coach for one year.
* Be willing to check in virtually (via phone call, video call, text, or email) with your MAIN Coach at least once a month.

Your responses to our Student Profile will give us with more insight on your interests and preferences so we can provide the most optimal match to a MAIN Coach.
Questions? Email the Nina Abonal at nabonal@jbbbsla.org.

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* 1. Full Name

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* 2. Preferred Nickname

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* 3. Current High School

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* 4. Grade Level

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* 5. Age

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* 6. Home City, State, Zip Code

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* 7. Mobile Number

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* 8. Email (please share an email you check frequently)

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* 9. Parent/Guardian Full Name

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* 10. Parent/Guardian Email

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* 11. Are you a first-generation college going student? (Note: We define first generation as a student whose parents did not obtain a 4-year/bachelor's degree in the United States)

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* 12. What other JBBBSLA Programs have you participated in? (check all that apply)

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* 13. Why are you interested in having a mentor? (check all that apply)

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* 14. By participating in JBBBSLA's MAIN Coach Program, I hope to...

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* 15. Are you currently participating or have participated in a mentoring program? 

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* 16. If you answered YES to the question above, please list the name of the program(s) and how long you have been involved:

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* 17. Do you prefer to be matched with a male or female mentor?

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* 18. Rank your preferred methods of communication with your mentor, with 1 being your most preferred method:

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* 19. When thinking about how you will communicate with your mentor, would you rather have it:

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* 20. What topics do you hope to explore with your mentor during your check-in sessions? (check all that apply)

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* 21. Personal Insights

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* 22. Academic Highlights

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* 23. My short bio or resume

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