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* 1. Fresh Start Mentors are professional women who are willing to give some time to empowering a woman to reach her goals of academic success and graduation. Together, you and your scholar will develop a plan to aid her in achieving her immediate and long-term goals and in becoming the person she aspires to be. The mentor relationship is based on mutual respect, and is a shared opportunity for learning and growth. Many mentors say being a mentor is as rewarding for them as for the scholars they guide.

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* 2. Contact Information

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* 3. Occupation

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* 4. Employer Information

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* 5. Highest Level of Education

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* 6. Where did you receive your degree/certification?

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* 7. Do you speak, read, or write a language other than English. Please list here.

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* 8. Please list any special skills or knowledge you have to share with a Fresh Start Scholar. Our goal is to match you with someone who could best benefit from your experience and wisdom and with whom you might share common interests and career aspirations.

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* 9. To further assist with matching mentors with scholars who vary in age and diversity, please provide the following demographic information.

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* 10. What motivates you to want to mentor others?

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* 11. How did you hear about the Fresh Start Scholarship Foundation?

Thank you from the Fresh Start Scholarship Foundation. We will contact you soon.

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