Mentorship Registration
The Hogue Foundation
Name (Mentee)
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Race or Ethnicity
Gender
*
Please Select
Male
Female
N/A
Language Spoken
School Attending and Grade Level
*
Your Hobbies and Interests
*
Visual Arts
Electronic Games
Travel
Music
Volunteering
Politics
Reading
Sports
Film/Theater
Other
What Best Describes you
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Outgoing
Business-oriented
Constructive
Empathetic
Funny
Lively
Intuitive
Passionate
Reserved
Reflective
Vibrant
Professional Interest or Expertise
*
Arts and Entertainment
Business and Development
Consultancy
Education
Engineering
Financial Services
Health Care and Medicine
Information Technology
Legal and Litigation
Marketing and Advertising
Non-Profit Administration
Politics
Publishing
Science and Technology
Which role you would like your Mentor to be in your life?
*
Colleague
Nurturer
Listener
Teacher
Motivator
Career Development
Life Coach
Industry Coach
Other
Areas where you hope your mentor will make an impact
*
Knowledge and Practice of Professional Etiquette
Focus and practice on the Field of Career
Professional Network Expansion
Personality Development
Communication Skills Improvement
Have you had mentoring before?
*
Yes
No
Your Preference of Communication with your Mentor
*
email
text
phone
Your Preferred Mentor
*
Male
Female
No preference
Are you interested in taking Civil Service exams? For example, a police officer, firefighter, court officer, and etc.
*
Yes
No
Your Personal Information
Tell us something about yourself
*
Are you planning to attend college? Please state why or why not and include major.
*
Where do you see yourself in five years
*
What are your expectations in The Hogue Foundation Mentoring program?
*
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Signature
*
Submit
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