L3 Campus Mentors Enrollment Form

L3 College Mentor Enrollment Form

Thank you for your interest in becoming an L3 mentor! Mentors will meet with mentees once a month for min 1 hour on topics outlined in the L3 curriculum. College mentors are required to complete a campus tour with their mentees. Every other mentee meeting is to the discretion of the mentor in accordance with monthly time commitments. Mentors will have a monthly meet up on the second Wednesday of the month (via Zoom). Attendance at the Mentor Orientation (via video), and the Mentor-Mentee Meet & Greet (via zoom) are required for selected mentors. Email info@l3ladies.org for additional information.
Full Name*

PrefixFirst NameLast Name
Race/Ethnicity
Date of Birth

MonthDayYear
Date
Phone Number*

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Select Region
County
County
What is Your Major?*
What is the name of your current college/university?*
What are your hobbies?*
What is/was your favorite subject in school?
Do you prefer to mentor a middle school girl or a high school girl?*
Can you commit to mentoring for the next 6 Months?*
Can you attend mentor orientation via video?*
Can you attend a Meet and Greet? (in person or zoom due to Covid/location)*
Can you bring the mentee on a campus tour at your institution? (or zoom due to Covid or location)*
Can you travel to the mentees' school or to the library to meet with her? (or zoom due to Covid or location)*
Can you spend a minimum of 15 minutes reviewing L3 curriculum before meeting with your mentee?*
Why is Mentoring Important to You?*
Enrollment Documents

i.e. Code of Conduct, Affidavit of Good Moral Character, Background Check Authorization, Non-Disclosure Agreement.
If you have already completed these documents you may upload them below. If you would like to complete them electronicaly via docusign, please answer "Send via DocuSign" below.
Enrollemt Doc Submission*

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Upload completed College Enrollment Docs

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Upload Completed Code of Conduct*

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Upload completed Affidavit of Good Moral Character *

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Upload Completed NDA*

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Upload Completed Background Check*

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You will hear from us to find out if you were matched with a mentee. If you do not get a match, you will be placed in our mentor pool. We have ongoing/rolling enrollment each month. So we may have a mentee match for you in a future enrollement. If you have any questions, contact us at 850.445.3144 or via email at info@l3ladies.org.
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L3 College Mentor Enrollment Form

Enrollment Documents