Are you a returning mentee?
*
No
Yes
Mentee Application
FormID
Mentee's Name
First Name
Last Name
Suffix
Mentee's Birth Date
-
Month
-
Day
Year
Date
Mentee's Age
Please Select
6
7
8
9
10
11
12
13
14
15
16
17
18
Mentees's Grade
Please Select
3
4
5
6
7
8
9
10
11
12
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mentee's School
Current GPA?
Current GPA?
Mentee's E-mail
example@example.com
Mentee's Phone Number
Please enter a valid phone number.
Parent's Name
Parent's Email
example@example.com
Parent's Home/Cell Phone
Parent's Work Phone
Preferred Method of Contact
Email
Home/Cell Phone
Office Phone
Did your son have a mentor before our program?
Yes
No
If yes, would you like for him to have the same mentor this time?
Yes
No
Did he apply before and not receive a mentor?
Yes
No
Do you prefer to receive news from ALPHA ACADEMY MENTORSHIP PROGRAM regarding upcoming events and other important information via email?
Yes
No
How did you hear about the ALPHA ACADEMY MENTORSHIP PROGRAM? (Check all that apply)
Friend
Alpha Brother
Teacher
Family member
After School Program
Church
Facebook
Twitter/X
Instagram
Mentee Questions
The answers below are important as it helps us tailor our annual program to be most effective for the incoming class.
Why do you want, or need to take part in this mentoring program?
Have you participated in similar programs in the past? If so, what were your experiences?
What goals, experiences, and learnings do you hope to achieve during this program this year?
What professional disciplines are you interested in learning more about?
School clubs, sports, or any other activities you are involved in
13th Man
AVID
Basketball
Boxing
Boy Scouts
Chess
Chorus
Church Usher
Drums
Football
Golf
Jack and Jill
Lacrosse
Martial Arts
Music
NJROTC
P4GYP
Piano
Soccer
STEM
Student Government
Swimming
Track
Video Games
Volleyball
Wrestling
Other
Please list any school clubs, sports, or any other activities you are involved in.
Do you need tutoring/assistance with your grades/school work? If so, what subjects?
What professional disciplines do you have experience in, or are familiar with already?
Submit Application
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