GEM MENTOR APPLICATION FORM

GEM Mentor Application Form
Name*

First NameLast Name
First Name
Last Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Gender*

MaleFemale
Who referred you? *
Who if anyone do you know at GEM*
Are you in: Check all that apply*

High school (mature seniors who want to mentor)CollegeWorking
Name of Educational Institution/School*
Degree Type*

DiplomaAsssociatesBachelorsMastersPhDMDCertificationOther
Degree/Major & Minor (If Any)*
What year do you expect to graduate*
Employer/Company Name*
Job Field*

BusinessEducationEngineeringHealthcareInformation TechnologyMarketingReal EstateSalesNon Profit OrganizationOther
Upload your resume*

Cancelof
Linkedin Profile (Optional)
Have you ever been a mentor before?

YesNo
Which group have you worked with before?*

Elementary SchoolMiddle SchoolHgh SchoolOther
What is your favorite book?*
What is your favorite movie?*
How do you spend your free time?*
What are your top 3 strengths?*
What are your weaknesses?*
What do you feel is the biggest problem facing our youth today and how would help?*
List what you feel are the top 3 issues facing Gen Z?*
What is a personal accomplishment that you are proud of?*
Please tell us about some of the challenges you have faced and how you dealt with them.*
If you were working on a project and your partner was not pulling their weight how would you deal with this?*
Where do you see yourself 10 years from now?*
If you were to start a non-profit today what would it focus on?*
How did you hear about this prorgam?*
Any questions about the Mentorship Program
Pick a date for a quick phone screening
Pick a date for a quick phone screening
Should be Empty:

GEM Mentor Application Form